Gustavo de Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa de Oliveira Campos, Leandro Albuquerque Lemgruber Kropf
{"title":"Distal Clavicle Autograft in Fractures of the Proximal Humerus: Surgical Technique","authors":"Gustavo de Mello Ribeiro Pinto, Rodrigo Chauke Rezende, Cristiano Nabuco Dantas, Marcelo Costa de Oliveira Campos, Leandro Albuquerque Lemgruber Kropf","doi":"10.1097/BTO.0000000000000587","DOIUrl":null,"url":null,"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.","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/BTO.0000000000000587","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
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.
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.