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Article: Minimally invasive plate osteosynthesis in the treatment of proximal humeral fracture

TitleMinimally invasive plate osteosynthesis in the treatment of proximal humeral fracture
Authors
Issue Date2007
PublisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/264
Citation
International Orthopaedics, 2007, v. 31 n. 5, p. 657-664 How to Cite?
AbstractThe management of fractures of the proximal shaft of the humerus has been evolving since the development of new techniques and new implants in recent years. It seems that this kind of fracture has an increasing incidence in the older, osteoporotic population. In the last 2 years, we have operated on 17 patients, with an average age of 65, who had proximal humeral shaft fractures treated by minimally invasive percutaneous osteosynthesis (MIPO) technique using the metaphyseal locking compression plate. Our study evaluated the surgical technique used and the outcome for these patients with regards to their range of movement and shoulder function. Our results showed that all the patients could achieve at least 140° of shoulder abduction in the first 6 months after the operation, except for three patients who had shoulder impingement. These patients had an average Constant score of 76.8. All fractures had bony union at 6 months, except one, which was probably due to poor reduction in the initial operation. Another complication that we encountered was radial nerve neuropraxia. The ways to prevent these complications are discussed. In conclusion, MIPO fixation using the metaphyseal locking compression plate is a good option for the management of proximal humeral shaft fractures. It provides early functional recovery, but we had to pay special attention to some of the surgical details in order to minimise complications. © 2006 Springer-Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/79336
ISSN
2015 Impact Factor: 2.387
2015 SCImago Journal Rankings: 1.508
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLau, TWen_HK
dc.contributor.authorLeung, Fen_HK
dc.contributor.authorChan, CFen_HK
dc.contributor.authorChow, SPen_HK
dc.date.accessioned2010-09-06T07:53:32Z-
dc.date.available2010-09-06T07:53:32Z-
dc.date.issued2007en_HK
dc.identifier.citationInternational Orthopaedics, 2007, v. 31 n. 5, p. 657-664en_HK
dc.identifier.issn0341-2695en_HK
dc.identifier.urihttp://hdl.handle.net/10722/79336-
dc.description.abstractThe management of fractures of the proximal shaft of the humerus has been evolving since the development of new techniques and new implants in recent years. It seems that this kind of fracture has an increasing incidence in the older, osteoporotic population. In the last 2 years, we have operated on 17 patients, with an average age of 65, who had proximal humeral shaft fractures treated by minimally invasive percutaneous osteosynthesis (MIPO) technique using the metaphyseal locking compression plate. Our study evaluated the surgical technique used and the outcome for these patients with regards to their range of movement and shoulder function. Our results showed that all the patients could achieve at least 140° of shoulder abduction in the first 6 months after the operation, except for three patients who had shoulder impingement. These patients had an average Constant score of 76.8. All fractures had bony union at 6 months, except one, which was probably due to poor reduction in the initial operation. Another complication that we encountered was radial nerve neuropraxia. The ways to prevent these complications are discussed. In conclusion, MIPO fixation using the metaphyseal locking compression plate is a good option for the management of proximal humeral shaft fractures. It provides early functional recovery, but we had to pay special attention to some of the surgical details in order to minimise complications. © 2006 Springer-Verlag.en_HK
dc.languageengen_HK
dc.publisherSpringer. The Journal's web site is located at http://www.springer.com/medicine/orthopedics/journal/264en_HK
dc.relation.ispartofInternational Orthopaedicsen_HK
dc.titleMinimally invasive plate osteosynthesis in the treatment of proximal humeral fractureen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0341-2695&volume=31&spage=657&epage=664&date=2007&atitle=Minimally+invasive+plate+osteosynthesis+in+the+treatment+of+proximal+humeral+fractureen_HK
dc.identifier.emailLeung, F: klleunga@hku.hken_HK
dc.identifier.emailChow, SP: spchow@hku.hken_HK
dc.identifier.authorityLeung, F=rp00297en_HK
dc.identifier.authorityChow, SP=rp00064en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00264-006-0242-4en_HK
dc.identifier.pmid17033765en_HK
dc.identifier.scopuseid_2-s2.0-35348908986en_HK
dc.identifier.hkuros149949en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-35348908986&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume31en_HK
dc.identifier.issue5en_HK
dc.identifier.spage657en_HK
dc.identifier.epage664en_HK
dc.identifier.isiWOS:000250119100013-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridLau, TW=42761610400en_HK
dc.identifier.scopusauthoridLeung, F=7103078631en_HK
dc.identifier.scopusauthoridChan, CF=36984592600en_HK
dc.identifier.scopusauthoridChow, SP=7201828376en_HK

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