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Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
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[Management of complications after angularly stable locking proximal humerus plate fixation]
C Voigt1, A Woltmann, A Partenheimer
1Klinik für Unfall- und Wiederherstellungschirurgie, Friederikenstift Hannover mit Unfallklinik, Humboldtstrasse 5, 30169 Hannover, Germany. christine.voigt@friederikenstift.de
Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|September 26, 2006
Summary
Complications after locking proximal humerus plate fixation were analyzed. Specific therapies, considering fracture type and surgical technique, can minimize complication rates in proximal humerus fractures.
Area of Science:
- Orthopedic surgery
- Traumatology
Background:
- Proximal humerus fractures are common injuries.
- Angularly stable plate fixation is a standard treatment.
Purpose of the Study:
- To analyze complications following angularly stable proximal humerus plate fixation.
- To derive specific therapies to minimize complication rates.
Main Methods:
- Prospective study of 50 patients with displaced proximal humerus fractures.
- Evaluation at 3, 6, and 12 months post-fixation with a locking plate.
Main Results:
- Complication rates varied significantly by fracture type (14% to 100%).
- Common complications included implant displacement, humeral head necrosis, malunion, nonunion, and infection.
- Six patients required nine reoperations for various complications.
Conclusions:
- Differentiated analysis of complications is crucial.
- Developing specific prevention and therapeutic strategies is essential.
- Considering surgical technique, implant choice, fracture morphology, and humeral head perfusion can minimize complications.
