Delivery Technique for Fibular Strut Bone Grafting to Proximal Humerus Nonunion Fractures

IF 0.2 Q4 ORTHOPEDICS
S. Kane, S. Tanaka, Matt J. Smith
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引用次数: 0

Abstract

Introduction: The prevalence of proximal humerus fractures will continue to increase as the population ages. Although the use of fibular strut grafts to treat these fractures is well established and has been used for many years, the authors present an alternative technique that aligns the graft within the intermedullary canal, and proximal segment, allowing for greater fragment and reduction control throughout the procedure. Materials and Methods: The technique involves intramedullary reaming and the usage of a #5 suture through the strut graft proximally that allows for easy placement of the graft across the fracture and into the humeral head after reduction. Results: The representative case described in this paper demonstrates a simplified technique for placement of a fibular allograft and fracture reduction with locking plate fixation for the treatment of proximal humerus nonunions. Discussion: The technique is an effective and simple method for the placement of a fibular strut allograft within the intramedullary canal of the distal and proximal segments of a proximal humeral fracture. The use of an endosteal fibular allograft strut addresses the need to re-establish the medial column of the humerus, provides local bone stock, and helps avoid varus angulation, and allows for improved fixation of the plate in poor quality bone.
肱骨近端骨不连骨折腓骨支撑骨移植的输送技术
导读:随着人口老龄化,肱骨近端骨折的患病率将继续增加。尽管使用腓骨支撑移植物治疗这些骨折已经建立并使用了多年,但作者提出了一种替代技术,将移植物对准髓间管和近段,在整个手术过程中允许更大的碎片和复位控制。材料和方法:该技术包括髓内扩孔和使用5号缝线通过支架移植物近端,以便在复位后轻松放置移植物穿过骨折并进入肱骨头。结果:本文描述的代表性病例展示了一种简化的技术,用于放置腓骨同种异体移植物和骨折复位锁定钢板固定治疗肱骨近端不连。讨论:该技术是在肱骨近端骨折远端和近端段髓内管内放置腓骨支撑异体移植物的一种有效和简单的方法。骨内同种异体腓骨支架的使用解决了重建肱骨内侧柱的需要,提供了局部骨托,有助于避免内翻角,并允许在质量较差的骨中改善钢板的固定。
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
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