Fluoroscopic Technique for Open Reduction and Internal Fixation of Proximal Humeral Fracture Using the Proximal Humeral Locking Plate: Proposal of 'Plate' and 'Screw' Views
| Autor: | Sunikom Suppauksorn, Piyabuth Kittithamvongs, Wichan Kanchanatawan, Warongporn Pongpinyopap, Worawit Densiri-aksorn |
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| Rok vydání: | 2017 |
| Předmět: |
Orthopedic surgery
030222 orthopedics medicine.medical_specialty business.industry medicine.medical_treatment Varus malalignment Avascular necrosis 030229 sport sciences medicine.disease Locking plate Surgery 03 medical and health sciences Fixation (surgical) 0302 clinical medicine Humeral fracture medicine.anatomical_structure Technical Note medicine Internal fixation Orthopedics and Sports Medicine Humerus Implant business RD701-811 |
| Zdroj: | Arthroscopy Techniques, Vol 6, Iss 4, Pp e1009-e1014 (2017) Arthroscopy Techniques |
| ISSN: | 2212-6287 |
| DOI: | 10.1016/j.eats.2017.03.014 |
| Popis: | Proximal humeral fractures are common injuries with increasing incidence, particularly in the aging population. Nondisplaced or minimally displaced fractures can be treated conservatively whereas surgical fixation is usually indicated in the cases of displaced fractures. Various surgical options have been used for treatment of these fractures. Good outcomes have been reported with use of the Proximal Humeral Internal Locking System (PHILOS plate; Synthes, Zuchwil, Switzerland) as the implant of choice. However many complications have been reported, including varus malalignment, excessive retroversion of the articular part of the humerus, penetration of screws, and avascular necrosis of the humeral head. Therefore, we have hypothesized that an inadequate intraoperative fluoroscopic assessment may be an important factor contributing to these complications. We have described a step-by-step intraoperative fluoroscopic setup, including the proposal of a plate and screw view, focusing on the accuracy of reduction and proper placement of the PHILOS plate to prevent the complications previously described. |
| Databáze: | OpenAIRE |
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