AI Article Synopsis
- A study evaluated early complications from using Dynamic Locking Screws (DLS 3.7) in treating proximal humerus fractures in 64 patients between 2009 and 2010.
- Follow-up at six months revealed a 22% complication rate, with 9% of cases experiencing screw perforation.
- Despite the modern design of DLS 3.7, the study highlights the need for further research to confirm its effectiveness in reducing complications.
Article Abstract
Background: Loss of reduction and screw perforation causes high failure rates in the treatment of proximal humerus fractures. The purpose of the present study was to evaluate the early postoperative complications using modern Dynamic Locking Screws (DLS 3.7) for plating of proximal humerus fractures.
Methods: Between 03/2009 and 12/2010, 64 patients with acute proximal humerus fractures were treated by angular stable plate fixation using DLSs in a limited multi-centre study. Follow-up examinations were performed three, six, twelve and twenty-four weeks postoperatively and any complications were carefully collected.
Results: 56 of 64 patients were examined at the six-month follow-up. Complications were observed in 12 patients (22%). In five cases (9%), a perforation of the DLS 3.7 occurred.
Conclusions: Despite the use of modern DLS 3.7, the early complications after plating of proximal humerus fractures remain high. The potential advantage of the DLS 3.7 regarding secondary screw perforation has to be confirmed by future randomized controlled trials.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057594 | PMC |
| http://dx.doi.org/10.1186/1471-2474-15-194 | DOI Listing |
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