Supporting the medial hinge in proximal humerus fractures with an intramedullary plate

Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We descr...

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Bibliographic Details
Published in:Trauma Case Reports
Main Authors: Tjibbe J. Gardenbroek, Sharon Oud, Henk A. Formijne Jonkers, J. Carel Goslings
Format: Article
Language:English
Published: Elsevier 2021-06-01
Subjects:
Proximal humerus fracture
Medial hinge plate
Intramedullary plate
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644021000790
Description
Summary:Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We describe two cases of patients with a dislocated 4-part humerus fracture treated with a locking plate and an additional small intramedullary plate to support the medial hinge. This technique is simple and allows for an enhanced stability of the medial hinge during and after surgery.
ISSN:2352-6440

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