Publications by Dennis P Franco

Publications by authors named "Dennis P Franco"

J Bone Joint Surg Am

July 2009

Surgical management of three and four-part proximal humeral fractures in osteoporotic patients is debated, with some experts suggesting prosthetic replacement and others advocating for the use of locked plates that provide angular stability as an alternative.
A study involving 122 patients aged 55 and older analyzed the effectiveness of locked-plate constructs versus hemiarthroplasty, tracking clinical outcomes over a minimum period of 24 months.
Results indicated that the locked-plate group had significantly better Constant-Murley scores than the hemiarthroplasty group, with complications noted in the locked-plate cohort, including osteonecrosis and screw perforation.

J Orthop Trauma

February 2009

The study investigates the outcomes of using locked plates for treating osteopenic proximal humerus fractures in patients over 55 years old.
Seventy patients were evaluated based on their initial fracture patterns (varus or valgus) to determine complications and overall recovery following the surgical procedure.
Results showed a significant difference in clinical outcomes and complications, with the varus group experiencing higher rates of failure (79%) compared to the valgus group (19%).

Clin Orthop Relat Res

April 2009

The surgical method known as trochanteric flip osteotomy (TFO) provides effective exposure and repair for both femoral head and acetabular fractures in patients with Pipkin IV injuries.
A study reviewed 12 patients over six years, finding that all had successful healing of their acetabular fractures, with 11 also healing their femoral head fractures, though one developed osteonecrosis.
Clinical outcomes were generally positive, with high scores on assessment scales and most patients achieving good or excellent results, indicating that TFO is a reliable approach for this complex fracture type.