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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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Glenohumeral Arthrodesis With Locking Compression Plate.

Jorge G Boretto1, Gerardo L Gallucci1, Pablo De Carli1

  • 1Hand and Upper Extremity Surgery Department, Prof. Dr. Carlos Ottolenghi's Institute, Orthopaedic and Traumatology Service, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

The Journal of Hand Surgery
|April 27, 2016
PubMed
Summary

This study presents a novel technique for glenohumeral arthrodesis using a locking compression plate placed under the acromion. This method aims to reduce hardware complications while maintaining fixation stability and promoting early motion.

Keywords:
Glenohumeral arthrodesisflail shoulderparalytic shouldershoulder arthrodesis

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Area of Science:

  • Orthopedic Surgery
  • Biomechanics
  • Surgical Techniques

Background:

  • Glenohumeral arthrodesis is a surgical procedure for paralytic disorders.
  • Internal fixation with plates is used to reduce nonunion rates.
  • Current plate placement can lead to skin irritation and hardware removal.

Purpose of the Study:

  • To describe a modified technique for glenohumeral arthrodesis.
  • To decrease hardware-related complications.
  • To maintain or improve fixation stability and allow early postoperative motion.

Main Methods:

  • A locking compression plate is placed under the acromion.
  • The technique utilizes biomechanical principles of compression and neutralization.
  • Fixation involves two screws for compression and the plate for neutralization.

Main Results:

  • The described technique aims to reduce skin irritation and hardware removal.
  • It is designed to prevent nonunion of the glenohumeral joint.
  • Allows for early postoperative motion through neutralization.

Conclusions:

  • This modified technique offers a potential solution to hardware complications in glenohumeral arthrodesis.
  • It maintains biomechanical principles for successful bone union.
  • Facilitates early motion, potentially improving patient outcomes.