Abstract

Open reduction, retention, and fixation of proximal humeral fractures using a locking plate osteosynthesis

Highlights

  • Owing to demographic changes, the number of proximal humerus fractures is continuously rising and surgical treatment can be challenging [1]

  • The following technique illustrates a standardized approach for an anatomical reduction, retention, and fixation using a locking plate osteosynthesis

  • Primary arthroplasty must be considered in fractures where vascularity of the humeral head is impaired or an anatomical reduction and stable fixation cannot be achieved

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Summary

Video online

You will find the video at the end of the article as “Supplementary material.”. Charitè – Universitaetsmedizin Berlin, Germany and Prof. Charitè – Universitaetsmedizin Berlin and Schulthess Clinic Zuerich, Switzerland, all rights reserved 2019. Angular stable plating has been introduced to address displaced, unstable, and/or comminuted fractures of the proximal humerus. An anatomical reduction before plate fixation is crucial. The following technique illustrates a standardized approach for an anatomical reduction, retention, and fixation using a locking plate osteosynthesis. This reproducible technique improves fixation with regard to primary stability, allowing for an early passive and active rehabilitation process

Background
Technical note
Anatomical reduction and suture cerclage
Locking plate osteosynthesis
Discussion
Compliance with ethical guidelines
Full Text
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