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International Orthopaedics

Published in:

01-09-2020 | Review Article

The plate fixation strategy of complex proximal humeral fractures

Authors: Qi Sun, Xiaoming Wu, Lei Wang, Ming Cai

Published in: International Orthopaedics | Issue 9/2020

Abstract

Purpose

For complex proximal humeral fractures, severe displacement and comminuted fragments lead to poor clinical outcomes. Despite considerable management, the locking plate fixation is still a preference and the proper selection of its strategy for each individual seems to be essential.

Method

The available classification system of the fracture, determination of surgical intervention, the common complications and related causes, and the latest critical surgical strategies with locking plate fixation were discussed in this review.

Results

The frequent complications with complex proximal humeral fractures after operative treatment present a great challenge to orthopedic surgeons. In order to maintain the stability of locking plate fixation, several options including calcar screw, bone graft, bone cement augmentation, dual plate fixation, and fracture impaction were available for restoration of medial support.

Conclusion

Restoration of medial support seems of importance to provide solid stability and reduced complication for the complex fractures with fixation of locking plates.

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Title: The plate fixation strategy of complex proximal humeral fractures
Authors: Qi Sun
Xiaoming Wu
Lei Wang
Ming Cai
Publication date: 01-09-2020
Publisher: Springer Berlin Heidelberg
Published in: International Orthopaedics / Issue 9/2020
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-020-04544-7

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The plate fixation strategy of complex proximal humeral fractures

Abstract

Purpose

Method

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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