Two-part surgical neck fractures of the proximal part of the humerus: A biomechanical evaluation of two fixation techniques

Journal of Bone and Joint Surgery

Volumn 88, Issue 10, 2006, Pages 2258-2264

  Edwards, Sara L ^a   Wilson, Nicole A ^b   Zhang, Li Qun ^b   Flores, Steven ^a   Merk, Bradley R ^a  

^a NORTHWESTERN UNIVERSITY   (United States)

^b REHABILITATION INSTITUTE OF CHICAGO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

TITANIUM;

ARTICLE; BIOMECHANICS; BONE DENSITY; BONE PLATE; CADAVER; COMMINUTED FRACTURE; HUMAN; HUMAN TISSUE; HUMERUS FRACTURE; IMPLANT; INTRAMEDULLARY NAIL; INTRAMEDULLARY NAILING; OSTEOPENIA; OSTEOSYNTHESIS; PRIORITY JOURNAL; PROXIMAL HUMERAL NAIL; RIGIDITY; ROTATION; SURGICAL NECK FRACTURE; TORQUE; TREATMENT FAILURE;

EID: 33749562322     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/JBJS.E.00757     Document Type: Article

References (18)

1. Baron JA, Barrett JA, Karagas MR. The epidemiology of peripheral fractures. Bone. 1996;18(3 Suppl):209S-213S.
2. Baron JA, Karagas M, Barrett J, Kniffin W, Malenka D, Mayor M, Keller RB. Basic epidemiology of fractures of the upper and lower limb among Americans over 65 years of age. Epidemiology. 1996;7:612-8.
3. Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001;72:365-71.
4. Stromsoe K. Fracture fixation problems in osteoporosis. Injury. 2004:35:107-13.
5. Hawkins RJ, Bell RH, Gurr K. The three-part fracture of the proximal part of the humerus. Operative treatment. J Bone Joint Surg Am. 1986;68:1410-4.
6. Hawkins RJ, Kiefer GN. Internal fixation techniques for proximal humeral fractures. Clin Orthop Relat Res. 1987;223:77-85.
7. Sehr JR, Szabo RM. Semitubular blade plate for fixation in the proximal humerus. J Orthop Trauma. 1988;2:327-32.
8. Chudik SC, Weinhold P, Dahners LE. Fixed-angle plate fixation in simulated fractures of the proximal humerus: a biomechanical study of a new device. J Shoulder Elbow Surg. 2003;12:578-88.
9. Iannotti JP, Ramsey ML, Williams GR Jr, Warner JJ. Nonprosthetic management of proximal humeral fractures. Instr Course Lect. 2004;53:403-16.
10. Schlegel TF, Hawkins RJ. Displaced proximal humeral fractures: evaluation and treatment. J Am Acad Orthop Surg. 1994;2:54-78.
11. Siffri PC, Peindl R, Coley ER, Connor PM, Kellam JF. Biomechanical analysis of blade-plate versus locking-plate fixation for a proximal humerus fracture: a comparison with use of cadaveric and synthetic humeri. Read at the Annual Meeting of the Orthopaedic Trauma Association; 2004 Oct 8-10; Hollywood, FL. www.hwbf.org/ota/am/ota04/ota04cov.htm.
12. Swiontkowski MF, Harrington RM, Keller TS, Van Patten PK. Torsion and bending analysis of internal fixation techniques for femoral neck fractures: the role of implant design and bone density. J Orthop Res. 1987;5:433-44.
13. Tingart MJ, Apreleva M, von Stechow D, Zurakowski D, Warner JJ. The cortical thickness of the proximal humeral diaphysis predicts bone mineral density of the proximal humerus. J Bone Joint Surg Br. 2003;85:611-17.
14. McClanahan BS, Harmon-Clayton K, Ward KD, Klesges RC, Vukadinovich CM, Cantler ED. Side-to-side comparisons of bone mineral density in upper and lower limbs of collegiate athletes. J Strength Cond Res. 2002;16:586-90.
15. Haapasalo H, Kannus P, Sievanen H, Pasanen M, Uusi-Rasi K, Heinonen A, Oja P, Vuori I. Effect of long-term unilateral activity on bone mineral density of female junior tennis players. J Bone Miner Res. 1998;13:310-9.
16. Wheeler DL, Colville MR. Biomechanical comparison of intramedullary and percutaneous pin fixation for proximal humeral fracture fixation. J Orthop Trauma. 1997;11:363-7.
17. Pettersson U, Alfredson H, Nordström P, Henriksson-Larsén K, Lorentzon R. Bone mass in female cross-country skiers: relationship between muscle strength and different BMD sites. Calcif Tissue Int. 2000;67:199-206.
18. Lill H, Hepp P, Korner J, Kassi JP, Verheyden AP Josten C, Duda GN. Proximal humeral 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.