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Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side of the...

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Related Experiment Video

Updated: May 25, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
15:11

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling

Published on: January 5, 2015

Locking plate fixation for proximal humerus fractures.

Neil G Burke1, Jim Kennedy, Connor Green

  • 1Department of Orthopaedic Surgery, Cappagh National Orthopaedic Hospital, Dublin, Ireland. neilburke@yahoo.co.uk

Orthopedics
|February 8, 2012
PubMed
Summary

Locking plates are effective for proximal humerus fractures, but complications like screw cutout can occur. Strategic screw placement and understanding bone quality are key to successful surgical outcomes.

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Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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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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Area of Science:

  • Orthopedic surgery
  • Biomedical engineering
  • Skeletal biomechanics

Background:

  • Locking plates are commonly used for proximal humerus fracture fixation.
  • Understanding proximal humerus bone quality is crucial for effective surgical treatment.
  • Optimal fixation techniques should leverage areas of highest bone strength, especially in osteoporotic patients.

Purpose of the Study:

  • To review treatment options for proximal humerus fractures, focusing on locking plate fixation.
  • To identify factors contributing to complications associated with locking plate use.
  • To provide recommendations for minimizing complications and improving surgical outcomes.

Main Methods:

  • Review of current literature on proximal humerus fracture treatment.
  • Analysis of complication rates associated with locking plate fixation.
  • Discussion of biomechanical principles for screw placement in the humeral head.

Main Results:

  • Locking plate fixation has high complication rates: avascular necrosis (7.9%), screw cutout (11.6%), and revision surgery (13.7%).
  • Varus deformation of the humeral head is a frequent cause of complications.
  • Strategic screw placement can mitigate loss of reduction and hardware issues.

Conclusions:

  • Locking plate fixation is a viable surgical option for proximal humerus fractures.
  • Careful screw placement, considering bone stock and humeral head anatomy, is essential to avoid complications.
  • Optimizing fixation strategies can improve patient outcomes and reduce revision rates.