Alyssa D. Althoff, Hans Prakash, R. P. Gean, S. Yarboro
{"title":"Small Fragment Instrumentation for Periprosthetic Humerus Fracture Fixation Technique","authors":"Alyssa D. Althoff, Hans Prakash, R. P. Gean, S. Yarboro","doi":"10.1097/BTE.0000000000000200","DOIUrl":null,"url":null,"abstract":"Periprosthetic humerus fractures remain problematic complications that are difficult to adequately reduce and maintain reduction. Patient-related risk factors, including poor bone quality, add an additional level of complexity to maintaining fixation in the setting of relatively narrow cortical margins adjacent to the shoulder prosthesis. Based on the challenges of obtaining adequate proximal fixation and the need to minimize dependence on cerclage fixation because of nerve injury risks and inadequate fracture reduction, the authors propose an alternative method intraoperative fixation. The technique described is a method of fixation utilizing a small fragment instrumentation set for periprosthetic humerus fractures as demonstrated in a Sawbones model and intraoperatively in a patient-specific case.","PeriodicalId":44224,"journal":{"name":"Techniques in Shoulder and Elbow Surgery","volume":"67 1","pages":""},"PeriodicalIF":4.5000,"publicationDate":"2020-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Shoulder and Elbow Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/BTE.0000000000000200","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"EDUCATION & EDUCATIONAL RESEARCH","Score":null,"Total":0}
引用次数: 0
Abstract
Periprosthetic humerus fractures remain problematic complications that are difficult to adequately reduce and maintain reduction. Patient-related risk factors, including poor bone quality, add an additional level of complexity to maintaining fixation in the setting of relatively narrow cortical margins adjacent to the shoulder prosthesis. Based on the challenges of obtaining adequate proximal fixation and the need to minimize dependence on cerclage fixation because of nerve injury risks and inadequate fracture reduction, the authors propose an alternative method intraoperative fixation. The technique described is a method of fixation utilizing a small fragment instrumentation set for periprosthetic humerus fractures as demonstrated in a Sawbones model and intraoperatively in a patient-specific case.
期刊介绍:
Published quarterly, Techniques in Shoulder & Elbow Surgery escorts the reader into the operating room and supplies step-by-step details of exciting and advanced techniques. It explains the evolution of and rationale for the procedures, identifies the pitfalls and possible complications, provides invaluable tips for improving surgical results and it is illustrated cover to cover with high-quality intraoperative photographs and drawings, many in full color.