Biomechanical analysis of blade plate versus locking plate fixation for a proximal humerus fracture: Comparison using cadaveric and synthetic humeri

Journal of Orthopaedic Trauma

Volumn 20, Issue 8, 2006, Pages 547-554

  Siffri, Paul C ^a   Peindl, Richard D ^a   Coley, Edward R ^a   Norton, James ^a   Connor, Patrick M ^b   Kellam, James F ^a  

^a CAROLINAS MEDICAL CENTER   (United States)

^b ORTHOCAROLINA HIP AND KNEE CENTER   (United States)

Author keywords

Biomechanics; Blade plates; Fracture fixation; Locking plates; Proximal humerus fracture

Indexed keywords

ADULT; AGED; ARTICLE; BIOMECHANICS; BLADE PLATE; BONE PLATE; CADAVER; CANCELLOUS BONE; COMPARATIVE STUDY; FEMALE; FRACTURE FIXATION; HUMAN; HUMAN TISSUE; HUMERUS FRACTURE; HUMERUS HEAD; JOINT MOBILITY; JOINT STABILITY; LOCKING PLATE; MALE; MATERIALS TESTING; MODEL; PRIORITY JOURNAL; TENSION; TORQUE; WEIGHT BEARING;

BIOMECHANICS; BONE PLATES; CADAVER; EQUIPMENT DESIGN; FRACTURE FIXATION; HUMANS; MODELS, BIOLOGICAL; ORTHOPEDIC PROCEDURES; SHOULDER FRACTURES;

EID: 33748957058     PISSN: 08905339     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.bot.0000244997.52751.58     Document Type: Article

References (28)

1. Baron JA, Karagas M, Barrett J, et al. Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age. Epidemiology. 1996;7:612-618.
2. Hawkins RJ, Angelo RL. Displaced proximal humerus fractures. Orthop Clin North Am. 1987;18:421-431.
3. Rasmussen S, Hvass I, Dalsgaard J, et al. Displaced proximal humeral fractures: results of conservative treatment. Injury. 1992;23:41-43.
4. Zyto K, Ahrengart L, SPerber A, et al. Treatment of displaced proximal humerus fractures in elderly patients. J Bone Joint Surg Br. 1997;79B:412-417.
5. Zyto K. Non-operative treatment of comminuted fractures of the proximal humerus in elderly patients. Injury. 1998;29:349-352.
6. Connor PM, Flatow EL. Complications of internal fixation of proximal humerus fractures. Instr Course Lec. 1997;46:25-37.
7. Gerber C, Warner JJ. Alternatives to hemiarthroplasty for complex proximal humeral fractures. In: Warner JJ, Ionotti JP, Gerber C, eds. Complex and Revision Problems in Shoulder Surgery. Philadelphia, PA: Lippincott Raven; 1997:215-243.
8. Hintermann B, Trouillier HH, Schafer D. Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br. 2000;82:1107-1112.
9. Jupiter JB, Mullaji AB. Blade plate fixation of proximal humeral nonunions. Injury. 1994;25:301-303.
10. Sehr J, Szabo RM. Semitubular blade plate for fixation in the proximal humerus. J Orthop Trauma. 1989;2:327-332.
11. Rehman S, Damron TA, Geel C. Humeral blade plate fixation of intercalary allografts and segmentally comminuted proximal humeral fractures: a preliminary report. Injury. 2000;31:783-788.
12. Kostler W, Strohm PC, Sudkamp NP. Proximal humerus fracture in advanced age: treatment with fixed angle plate osteosynthesis. Chirurg. 2003;74:985-989.
13. Fankhauser F, Boldin C, Schippinger G, et al. A new locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res. 2005;430:176-181.
14. Lill H, Hepp P, Rose T, et al. The angle stable locking-proximal-humerus- plate (LPHP) for proximal humerus fractures using a small anterior-lateral- deltoid-splitting-technique and first results. Zentralbl Chir. 2004;129:43-48.
15. Koval KJ, Blair B, Takei R, et al. Surgical neck fractures of the proximal humerus: A laboratory evaluation of ten fixation techniques. J Trauma. 1996;40:778-783.
16. Williams GR Jr, Copley LA, Iannotti JP, et al. The influence of intramedullary fixation on figure of eight wiring for surgical neck fractures of the proximal humerus: a biomechanical comparison. J Shoulder Elbow Surg. 1997;6:423-428.
17. Naidu SH, Bixler B, Capo JT, et al. Percutaneous pinning of proximal humerus fractures: a biomechanical study. Orthopedics. 1997;20:1073-1076.
18. Chudik S, Weinhold P, Dahners E. Fixed-angle plate fixation in simulated fractures of the proximal humerus: a biomechanical study of a new device. J Shoulder Elbow Surg. 2003;12:578-588.
19. Kwon BK, Goertzen DJ, O'Brien PJ, et al. Biomechanical evaluation of proximal humeral fracture fixation supplemented with calcium phosphate cement. J Bone Joint Surg Am. 2002;84:951-961.
20. Wheeler DL, Colville MR. Biomechanical comparison of intramedullary and percutaneous pin fixation for proximal humeral fracture fixation. J Orthop Trauma. 1997;5:363-377.
21. McLaurin TM. Proximal humerus fractures in the elderly: are we operating on too many? Bull Hosp Jt Dis. 2004;62:24-32.
22. Olsson C, Nordquist A, Petersson CJ. Increased fragility in patients with fracture of the proximal humerus: a case control study. Bone. 2004;34:1072-1077.
23. Tingart MJ, Apreleva M, von Stechow D, et al. The cortical thickness of the proximal humeral diaphysis predicts bone mineral density of the proximal humerus. J Bone Joint Surg Br. 2003;85:611-617.
24. Fankhauser F, Schippinger G, Weber K, et al. Cadaveric-biomechanical evaluation of bone-implant construct of proximal humerus fractures (Neer type 3). J Trauma. 2003;55: 345-349.
25. Maldanado ZM, Seebeck J, Heller MO, et al. Straining of the intact and fractured proximal humerus under physiological-like loading. J Biomech. 2003;36:1865-1873.
26. Lill H, Hepp P, Korner J, et al. Proximal humerus fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens. Arch Orthop Trauma Surg. 2003;123:74-81.
27. Hessmann MH, Sternstein W, Mehler D, et al. Are angle-fixed implants with elastic properties advantageous for the internal fixation of proximal humerus fractures? Biomed Tech (Berl). 2004;49:345-350.
28. Instrum K, Fennell C, Shrive N, et al. Semitubular blade plate fixation in proximal humeral fractures: a biomechanical study in a cadaveric model. J Shoulder Elbow Surg. 1998;7:462-466.