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Archives of Orthopaedic and Trauma Surgery

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01-08-2017 | Trauma Surgery

An alternative technique for greater tuberosity fractures: use of the mesh plate

Authors: Yelena Bogdan, Elizabeth B. Gausden, Robert Zbeda, David L. Helfet, Dean G. Lorich, David S. Wellman

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 8/2017

Abstract

Introduction

Isolated greater tuberosity (GT) fractures (AO 11-A1) tend to occur in the younger patient population and are poorly managed by most precontoured proximal humerus locking plates. The goal of this study was to identify and assess an alternative treatment strategy for greater tuberosity fractures.

Materials and methods

A retrospective review of all cases of isolated greater tuberosity fractures treated with a 2.4/2.7 mesh plate (Synthes) between 2010 and 2015 was conducted. Patient demographics, operative reports, and clinical notes were reviewed. The time to radiographic union was assessed. Clinical outcomes were retrieved from patients at their follow-up visits or via mailed Disabilities of the Arm, Shoulder, Hand (DASH) questionnaires.

Results

Ten patients with isolated GT fractures treated with mesh plating were identified with an average age of 47.1 years. The average radiographic follow-up was 7.2 months and the average clinical follow-up was 8.0 months. The mean time to union was 8.5 weeks. Two patients underwent elective hardware removal. The mean DASH at final follow-up was 28.2 (±22.4), while the mean DASH work was 13.6 (±19.1).

Conclusion

We have identified a viable alternative treatment option for the surgical management of isolated greater tuberosity fractures using a mesh plate that can be contoured to the patient’s anatomy. Surgeons should be aware of this option for select patients.

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Title: An alternative technique for greater tuberosity fractures: use of the mesh plate
Authors: Yelena Bogdan
Elizabeth B. Gausden
Robert Zbeda
David L. Helfet
Dean G. Lorich
David S. Wellman
Publication date: 01-08-2017
Publisher: Springer Berlin Heidelberg
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 8/2017
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-017-2715-x

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

An alternative technique for greater tuberosity fractures: use of the mesh plate

Abstract

Introduction

Materials and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

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