Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head?
The aim of the study was to examine the correlation between the chosen position of screws and the complications observed in patients who underwent locked plating of proximal humeral fractures. We evaluated radiographs of 367 patients treated by locked-plating for proximal humeral fractures. Radiogra...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Open Medical Publishing
2014-06-01
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| Series: | Orthopedic Reviews |
| Subjects: | |
| Online Access: | http://www.pagepress.org/journals/index.php/or/article/view/5336 |
| _version_ | 1819025450034266112 |
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| author | Mohammad Maddah Wolf C. Prall Lucas Geyer Stefan Wirth Wolf Mutschler Ben Ockert |
| author_facet | Mohammad Maddah Wolf C. Prall Lucas Geyer Stefan Wirth Wolf Mutschler Ben Ockert |
| author_sort | Mohammad Maddah |
| collection | DOAJ |
| description | The aim of the study was to examine the correlation between the chosen position of screws and the complications observed in patients who underwent locked plating of proximal humeral fractures. We evaluated radiographs of 367 patients treated by locked-plating for proximal humeral fractures. Radiographs were taken at one day, 6 weeks, 3 months and 6 months after surgery, and were analyzed for secondary fracture displacement, loss of fixation, cutting out of screws and necrosis of the humeral head. Secondary loss of fixation occurred in 58 cases (15.8%) and among those cutting out of screws was observed in 25 cases (6.8%). In cases of secondary loss of fixation a mean of 6.7 screws were used to fix the fracture (<em>vs</em> 6.6, P=0.425). There was neither significant correlation between position of screws and the occurrence of postoperative loss of fixation in Spearman correlation nor relationship from backward logistic regression analysis. Loss of fixation following locked plating of proximal humeral fractures does not relate to the number of screws and their positions in the humeral head. In consequence, anatomic fracture reduction and restoration of the humeral head-shaft angle are still important factors and should not be disregarded. |
| first_indexed | 2024-12-21T05:10:52Z |
| format | Article |
| id | doaj.art-5d57f9122eb04a70877f64929a9d6deb |
| institution | Directory Open Access Journal |
| issn | 2035-8237 2035-8164 |
| language | English |
| last_indexed | 2024-12-21T05:10:52Z |
| publishDate | 2014-06-01 |
| publisher | Open Medical Publishing |
| record_format | Article |
| series | Orthopedic Reviews |
| spelling | doaj.art-5d57f9122eb04a70877f64929a9d6deb2022-12-21T19:15:04ZengOpen Medical PublishingOrthopedic Reviews2035-82372035-81642014-06-016210.4081/or.2014.53362865Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head?Mohammad Maddah0Wolf C. Prall1Lucas Geyer2Stefan Wirth3Wolf Mutschler4Ben Ockert5Department of Trauma and Orthopedic Surgery, Ludwig-Maximilians-University, MunichDepartment of Trauma and Orthopedic Surgery, Ludwig-Maximilians-University, MunichDepartment of Clinical Radiology, Ludwig-Maximilians-University, MunichDepartment of Clinical Radiology, Ludwig-Maximilians-University, MunichDepartment of Trauma and Orthopedic Surgery, Ludwig-Maximilians-University, MunichDepartment of Trauma and Orthopedic Surgery, Ludwig-Maximilians-University, MunichThe aim of the study was to examine the correlation between the chosen position of screws and the complications observed in patients who underwent locked plating of proximal humeral fractures. We evaluated radiographs of 367 patients treated by locked-plating for proximal humeral fractures. Radiographs were taken at one day, 6 weeks, 3 months and 6 months after surgery, and were analyzed for secondary fracture displacement, loss of fixation, cutting out of screws and necrosis of the humeral head. Secondary loss of fixation occurred in 58 cases (15.8%) and among those cutting out of screws was observed in 25 cases (6.8%). In cases of secondary loss of fixation a mean of 6.7 screws were used to fix the fracture (<em>vs</em> 6.6, P=0.425). There was neither significant correlation between position of screws and the occurrence of postoperative loss of fixation in Spearman correlation nor relationship from backward logistic regression analysis. Loss of fixation following locked plating of proximal humeral fractures does not relate to the number of screws and their positions in the humeral head. In consequence, anatomic fracture reduction and restoration of the humeral head-shaft angle are still important factors and should not be disregarded.http://www.pagepress.org/journals/index.php/or/article/view/5336proximal humeral fracture, angular stable plating, screw cutout, secondary fracture displacement, loss of fixation |
| spellingShingle | Mohammad Maddah Wolf C. Prall Lucas Geyer Stefan Wirth Wolf Mutschler Ben Ockert Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head? Orthopedic Reviews proximal humeral fracture, angular stable plating, screw cutout, secondary fracture displacement, loss of fixation |
| title | Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head? |
| title_full | Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head? |
| title_fullStr | Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head? |
| title_full_unstemmed | Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head? |
| title_short | Is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head? |
| title_sort | is loss of fixation following locked plating of proximal humeral fractures related to the number of screws and their positions in the humeral head |
| topic | proximal humeral fracture, angular stable plating, screw cutout, secondary fracture displacement, loss of fixation |
| url | http://www.pagepress.org/journals/index.php/or/article/view/5336 |
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