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Avoiding Complications of Locking Plating for Proximal Humerus Fractures. | LitMetric

Avoiding Complications of Locking Plating for Proximal Humerus Fractures.

J Long Term Eff Med Implants

Department of Orthopaedics, University of Patras, School of Medicine, University Hospital of Patras, Patras, Greece.

Published: August 2022

AI Article Synopsis

  • * Options for treating these fractures include conservative care, closed/open reduction with internal fixation, or arthroplasty, with many surgeons now favoring open reduction and internal fixation using locking plates due to advances in surgical techniques.
  • * Despite the popularity of this treatment method, there are significant complication rates reported, prompting discussions in the article about common complications and recommended intraoperative techniques to minimize these risks.*

Article Abstract

Proximal humeral fractures are very common, especially among elderly people with osteoporosis. The treatment methods are numerous, according to the characteristics of the patient and the fracture, as well as the surgeon's preference. These fractures can be treated either conservatively or operatively with closed or open reduction and internal fixation, or arthroplasty. During the past decades, with the advances in osteosynthesis and the establishment of locking plates, many surgeons prefer managing humeral fractures with open reduction and internal fixation with locking plates. Even though this is a widespread method of treatment, many studies report high complication rates, including perioperative and hardware complications. This article presents the most common complications a surgeon may face when managing this kind of fractures, as well as intraoperative techniques that can be used to avoid them.

Download full-text PDF

Source
http://dx.doi.org/10.1615/JLongTermEffMedImplants.2022040229DOI Listing

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