AI Article Synopsis
- A 45-year-old woman with a history of alcoholism experienced a proximal humerus fracture and initially underwent surgery using a lateral locking plate but faced complications due to falls caused by delirium tremens.
- After her condition worsened, she required revision surgery where the previous hardware was removed and a new fixation was done with the addition of a UV-activated intramedullary cement implant.
- This case is notable as it is the first reported use of UV-activated cement to strengthen the fixation for such fractures, addressing issues of non-compliance that could lead to surgical failure.
Article Abstract
Background: Post-operative non-compliance is a risk factor for fracture fixation failure and presents a challenge for revision surgery planning. We present a patient who underwent revision surgery for a proximal humerus fracture with lateral locked plating augmented with a UV light activated intramedullary implant.
Case: A 45-year-old woman with a history of alcoholism presented with a proximal humerus fracture. After undergoing open reduction internal fixation with a lateral locking plate, the patient suffered a fall secondary to delirium tremens. New radiographs demonstrated displacement of the fracture with failure of screws. Revision surgery consisting of removal of the initial construct as well as open reduction internal fixation via lateral locking plate, augmented with a UV-activated intramedullary cement implant, was performed.
Conclusion: This is the first case report describing the use of a UV-activated intramedullary cement implant to augment the use of lateral locked plating for proximal humerus fractures. This case illustrates the successful management using UV-activated intramedullary cement to augment fixation, specifically in a patient with risk factors and post-operative non-compliance that predispose to fixation failure.
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| http://dx.doi.org/10.1007/s00590-024-03980-0 | DOI Listing |
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