Internal fixation of unstable proximal humerus fractures with an anatomically preshaped interlocking plate: A clinical and radiologic evaluation

Journal of Trauma

Volumn 63, Issue 6, 2007, Pages 1314-1323

  Hirschmann, Michael Tobias ^a   Quarz, Volker ^b   Audigé, Laurent ^c   Ludin, Dietmar ^d   Messmer, Peter ^e   Regazzoni, Pietro ^f   Gross, Thomas ^g  

^a Orthopedic Department   (Switzerland)

^b AO Development Institute   (Switzerland)

^c AO Clinical Investigation and Documentation   (Switzerland)

^d Hôpital Régional Delémont   (Switzerland)

^e UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^f UNIVERSITY HOSPITAL BASEL   (Switzerland)

^g Ospedale Civico Lugano   (Switzerland)

Author keywords

Angle stability; Fracture; Internal fixator; Proximal humerus

Indexed keywords

AGED; ARM INJURY; ARTICLE; BONE PLATE; CLASSIFICATION; DAILY LIFE ACTIVITY; FEMALE; FOLLOW UP; HUMAN; JOINT CHARACTERISTICS AND FUNCTIONS; MALE; METHODOLOGY; OSTEOSYNTHESIS; PAIN ASSESSMENT; RADIOGRAPHY; STATISTICAL MODEL; TIME;

ACTIVITIES OF DAILY LIVING; AGED; BONE PLATES; FEMALE; FOLLOW-UP STUDIES; FRACTURE FIXATION, INTERNAL; HUMANS; LOGISTIC MODELS; MALE; PAIN MEASUREMENT; RANGE OF MOTION, ARTICULAR; SHOULDER FRACTURES; TIME FACTORS;

EID: 38949093593     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.ta.0000240457.64628.38     Document Type: Article

References (68)

1. Kannus P, Palvanen M, Niemi S, Parkkari J, Jarvinen M, Vuori I. Osteoporotic fractures of the proximal humerus in elderly Finnish persons: sharp increase in 1970-1998 and alarming projections for the new millennium. Acta Orthop Scand. 2000;71:465-470.
2. Court-Brown C, Garg A, McQueen M. The epidemiology of proximal humeral fractures. Acta Orthop Scand. 2001;72: 365-371.
3. Riggs BL, Melton LJ. The worldwide problem of osteoporosis: insights afforded by epidemiology. Bone. 1995;17:505S-511S.
4. Hessmann M, Blum J, Hofmann A, Kuechle R, Rommens P. Internal fixation of proximal humeral fractures: current concepts. Eur J Trauma. 2003;5:261.
5. Lill H, Josten C. Conservative or operative treatment of humeral head fractures in the elderly? Chirurg. 2001;72:1224-1234.
6. Peeters MV, Kastelein G, Breslau P. Proximal humerus fractures. Eur J Trauma. 2001;27:133-136.
7. Zyto K, Ahrengart L, Sperber A, Tornkvist H. Treatment of displaced proximal humeral fractures in elderly patients. J Bone Joint Surg Br. 1997;79:412-417.
8. Hertel R. Fractures of the proximal humerus in osteoporotic bone. Osteoporos Int. 2005;16:S65-S72.
9. Gerber C, Hersche O, Berberat C. The clinical relevance of posttraumatic avascular necrosis of the humeral head. J Shoulder Elbow Surg. 1998;7:586-590.
10. Chen CY, Chao EK, Tu YK, Ueng SW, Shih CH. Closed management and percutaneous fixation of unstable proximal humerus fractures. J Trauma. 1998;45:1039-1045.
11. Resch H, Povacz P, Frohlich R, Wambacher M. Percutaneous fixation of three- and four-part fracture of the proximal humerus. J Bone Joint Surg Br. 1997;79:295-300.
12. Jaberg H, Warner J, Jakob R. Percutaneous stabilization of unstable fractures of the humerus. J Bone Joint Surg Am. 1992;74:508-515.
13. Cornell CN. Tension-band wiring supplemented by lag-screw fixation of proximal humerus fractures: a modified technique. Orthop Rev. 1994;23(Suppl):19-23.
14. Lill H, Korner J, Glasmacher S, et al. The crossed screw osteosynthesis of proximal humerus fractures. Unfallchirurg. 2001;9:852-859.
15. Park M, Murthi A, Roth N, Blaine T, Levine W, Bigliani L. Two-part and three-part fractures of the proximal humerus treated with suture fixation. J Orthop Trauma. 2003;17:319-325.
16. Speck M, Regazzoni P. Four-part fractures of the proximal humerus. Alternative strategies for operative treatment. Unfallchirurg. 1997;5:349-353.
17. Esser R. Open reduction and internal fixation of three- and four part fracture of the proximal humerus. Clin Orthop. 1994;299:244-251.
18. Hintermann B, Trouillier H, Schufer D. Rigid internal fixation of fractures of the proximal humerus in older patients. J Bone Joint Surg Br. 2000;84:1107-1112.
19. Wanner G, Wanner-Schmid E, Romero J, Hersche O, von Smekal A, Trentz O. Internal fixation of displaced proximal humeral fractures with two one-third tubular plates. J Trauma. 2003;54:536-544.
20. Wijgman AJ, Roolker W, Patt TW, Raaymakers EL, Marti RK. Open reduction and internal fixation of three and four-part fractures of the proximal part of the humerus. J Bone Joint Surg Am. 2002;84:1919-1925.
21. Yang KH. Helical plate fixation for treatment of comminuted fractures of the proximal and middle one-third of the humerus. Injury. 2005;36:75-80.
22. Hessmann MH, Rommens PM. Osteosynthesis techniques in proximal humeral fractures. Chirurg. 2001;72:1235-1245.
23. Mathews J, Lobenhoffer P. Results of intramedullary nailing of unstable proximal humeral fractures in geriatric patients with a new antegrade nail system. Unfallchirurg. 2004;107:372-380.
24. Adedapo AO, Ikpeme JO. The results of internal fixation of three- and four-part proximal humeral fractures with the Polarus nail. Injury. 2001;32:115-121.
25. Christoforakis J, Kontakis GM, Katonis P, et al. Relevance of restoration of humeral length and retroversion in hemiarthroplasty for humeral head fractures. Acta Orthop Belg. 2003;69:226-232.
26. Demirhan M, Kilicoglu O, Altinel L, Eralp L, Akalin Y. Prognostic factors in prosthetic replacement for acute proximal humerus fractures. J Orthop Trauma. 2003;17:181-188.
27. Kralinger F, Schwaiger R, Wambacher M, et al. Outcome after primary hemiarthroplasty for fracture of the head of the humerus. J Bone Joint Surg Br. 2004;86:217-219.
28. Robinson C, Page R. Severely impacted valgus proximal humeral fractures. Results of operative treatment. J Bone Joint Surg Am. 2003;85:1647-1655.
29. Skutek M, Fremerey RW, Bosch U. Level of physical activity in elderly patients after hemiarthroplasty for three- and four-part fractures of the proximal humerus. Arch Orthop Trauma Surg. 1998;117:252-255.
30. Schmal H, Klemt C, Sudkamp N. Evaluation of shoulder arthroplasty in treatment of four-fragment fractures of the proximal humerus. Unfallchirurg. 2004;107:582.
31. Misra A, Kapur R, Maffulli N. Complex proximal humeral fractures in adults-a systematic review of management. Injury. 2001;32:363-372.
32. Lungershausen W, Bach O, Lorenz CO. "Locking plate osteosynthesis for fractures of the proximal humerus”. Zentralbl Chir. 2003;128:28-33.
33. Meier R, Messmer P, Regazzoni P, Rothfischer W, Gross T. Unexpected high complication rate following internal fracture fixation of the proximal humerus with an angled blade plate. J Orthop Trauma. 2006;253-260.
34. Hessmann M, Baumgaertel F, Gehling H, Klingelhoeffer I, Gotzen L. Plate fixation of proximal humeral fractures with indirect reduction: surgical technique and results utilizing three shoulder scores. Injury. 1999;30:453-462.
35. Fuchs M, Burchhardt H, Losch A, Stuermer K. Open reduction and internal fixation of proximal humerus fractures with a cannulated blade plate. Oper Orthop Traumatol. 2002;14:290-298.
36. Kocialkowski A, Wallace WA. Closed percutaneous K-wire stabilization for displaced fractures of the surgical neck of the humerus. Injury. 1990;21:209-212.
37. Resch H, Hubner C, Schwaiger R. Minimally invasive reduction and osteosynthesis of articular fractures of the humeral head. Injury. 2001;32:25-32.
38. Ilchmann T, Ochsner P, Wingstrand H, Jonsson K. Non-operative treatment versus tension-band osteosynthesis in three- and four-part proximal humeral fractures. Int Orthop. 1998;22:316-320.
39. Hodgson S, Mawson S, Stanley D. Rehabilitation after two-part fractures of the neck of the humerus. J Bone Joint Surg Br. 2003;85:419-422.
40. Kristiansen B, Angermann P, Larsen TK. Functional results following fractures of the proximal humerus. A controlled clinical study comparing two periods of immobilization. Arch Orthop Trauma Surg. 1989;108:339-341.
41. Sadowski C, Riand N, Stern R, Hoffmeyer P. Fixation of fractures of the proximal humerus with the PlantTan Humerus Fixator Plate: early experience with a new implant. J Shoulder Elbow Surg. 2003;12:148-151.
42. Boss A, Hintermann B. Primary endoprosthesis in comminuted humeral head fractures in patients over 60 years of age. Int Orthop. 1999;172-174.
43. Perren SM. Evolution of the internal fixation of long bone fractures. The scientific basis of biological internal fixation: choosing a new balance between stability and biology. J Bone Joint Surg Br. 2002;84:1093-1110.
44. Constant C, Murley A. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;160-164.
45. Constant C. Age Related Recovery of Shoulder Function After Injury "PhD thesis”. Cork, Ireland: University College; 1986.
46. Thomas M, Dieball O, Busse M. Normal values of the shoulder strength in dependency on age and gender-comparison with the constant, UCLA, ASES scores and SF36 health survey. Z Orthop Ihre Grenzgeb. 2003;141:160-170.
47. Hudak PL, Amadio PC, Bombardier C. Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) corrected. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996;29:602-608.
48. Germann G, Harth A, Wind G, Demir E. Standardisierung und validierung der deutschen version 2.0 des "Disability of Arm, Shoulder, Hand"(DASH)-fragebogens zur outcome-messung an der oberen extremitüt. Unfallchirurg. 2003;106:13-19.
49. Neer C. Four-segment classification of displaced proximal humeral fractures. Instr Course Lect. 1975;24:160-168.
50. Hockings M, Haines J. Least possible fixation of fractures of the proximal humerus. Injury. 2003;34:443-447.
51. Parsch D, Wittner B. Prevalence of rotator cuff defects in dislocated fractures of the humerus head in elderly patients. Unfallchirurg. 2000;103:945-948.
52. Maurer J, Ruter A. Fixed-angle internal fixation with plates in the proximal humerus. A clinical comparison of the conventional and the "new"procedures. Trauma Berufskrankh. 2004;6:247-250.
53. Habermeyer P. Die humeruskopffraktur. Unfallchirurg. 1997;100:820-837.
54. Jakob R, Miniaci A, Anson P, Jaberg H, Osterwalder A. Four-part valgus impacted fractures of the proximal humerus. J Bone Joint Surg Br. 1991;73:295-298.
55. Trupka A, Wiedemann E, Ruchholtz S, Brunner U, Habermeyer P, Schweiberer L. Dislocated multiple fragment fractures of the head of the humerus. Does dislocation of the humeral head fragment signify a worse prognosis? Unfallchirurg. 1997;100:105-110.
56. Khodadadyan-Klostermann C, Raschke M, Fontes R, et al. Treatment of complex proximal humeral fractures with minimally invasive fixation of the humeral head combined with flexible intramedullary wire fixation-introduction of a new treatment concept. Langenbecks Arch Surg. 2002;387:153-160.
57. Raissadat K, Struben PJ, van Loon CJ. Helix wire osteosynthesis for proximal humeral fractures: unacceptable nonunion rate in two- and three-part fractures. Arch Orthop Trauma Surg. 2004;124:166-168.
58. Checchia S, Doneux P, Miyazaki A, Spir I, Bringel R, Ramos C. Classification of non-unions of the proximal humerus. Int Orthop. 2000;24:217-220.
59. Schittko A, Braun W, Rueter A.Experiences with the Or Tra-prosthesis in primary prosthetic replacement of fractures of the humeral head-indication, technique and results. Zentralbl Chir. 2003;128:12-16.
60. Siebenrock K, Gerber C. The reproductibility of classification of fractures of the proximal end of the humerus. J Bone Joint Surg Am. 1993;75:1751-1755.
61. Brorson S, Bagger J, Sylvest A, Hrobjartsson A. Low agreement among 24 doctors using the Neer-classification; only moderate agreement on displacement, even between specialists. Int Orthop. 2002;26:271-273.
62. Hente R, Kampshoff J, Kinner B, Fuchtmeier B, Nerlich M. Treatment of displaced 3- and 4-part fractures of the proximal humerus with fixator plate comprising angular stability. Unfallchirurg. 2004;107:769-782.
63. Hepp P, Lill H, Bail H, et al. Where should implants be anchored in the humeral head? Clin Orthop. 2003;415:139-147.
64. Damanakis K, Schaal O, Mann J, Muller K. H. Modified treatment concept in fractures of the humeral head in elderly patients. Unfallchirurg. 1996;99:561-568.
65. Muckter H, Herzog L, Becker M, Vogel W, Meeder P, Buchholz J. Angle- and rotation stable internal fixation of proximal humerus fractures with the humerus fixator plate. Early clinical experience with a newly developed implant. Chirurg. 2001;72:1327-1335.
66. Lill H, Hepp P, Rose T, Konig K, Josten C. The angle stable locking-proximal-humerus-plate (LPHP) for proximal humeral fractures using a small anterior-lateral-deltoid-splitting-approach-technique and first results. Zentralbl Chir. 2004;129:43-48.
67. Yetkinler DN, McCellan RT, Reindel ES, Carter D, Poser RD. Biomechanical comparison of conventional open reduction and internal fixation versus calcium phosphate cement fixation of a central depressed tibial plateau fracture. J Orthop Trauma. 2001;15:197-206.
68. Lee CK, Hansen HR. Post-traumatic avascular necrosis of the humeral head in displaced proximal humeral fractures. J Trauma. 1981;21:788-791