Distal Clavicle Autograft in Fractures of the Proximal Humerus: Surgical Technique

IF 0.2 Q4 ORTHOPEDICS
Gustavo de Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa de Oliveira Campos, Leandro Albuquerque Lemgruber Kropf
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引用次数: 0

Abstract

Introduction: The surgical treatment of the proximal humerus fractures is challenging because of various presentations, especially in osteoporotic bones. The use of fixed-angle locked plates combined with grafts increases the fixation stability and healing rate. This study aims to describe a novel option of autogenous bone graft from the distal clavicle in the treatment of the proximal humerus fracture. Materials and Methods: This is a descriptive study of a novel technique including patients undergoing surgical treatment of the proximal humerus fracture with locked plates and autograft from the distal clavicle. Results: A total of 3 female patients underwent treatment in the last year, and there are no complications reported. All fractures remained stable without varus collapse of the humeral head. Conclusion: We are the first to describe the use of the distal clavicle as an option of autograft for the treatment of the proximal humerus fractures. This technique has low morbidity and complexity, easy reproduction and low cost and can be harvested in the same donor region as the operative site.
肱骨近端骨折的自体锁骨远端移植:外科技术
导读:肱骨近端骨折的手术治疗具有挑战性,因为其表现多样,尤其是骨质疏松性骨折。使用固定角度锁定钢板结合移植物可提高固定稳定性和愈合率。本研究旨在描述一种新的选择自体骨移植从远端锁骨治疗肱骨近端骨折。材料和方法:这是一项新技术的描述性研究,包括接受肱骨近端骨折手术治疗的患者,锁定钢板和锁骨远端自体移植物。结果:一年内共有3例女性患者接受治疗,无并发症报告。所有骨折保持稳定,无肱骨头内翻塌陷。结论:我们是第一个描述使用远端锁骨作为自体移植物治疗肱骨近端骨折的选择。该技术具有低发病率、低复杂性、易复制、低成本等优点,可在手术部位的同一供体区域采集。
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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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