A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases
Background: Non-prosthetic peri-implant fractures and under reported entities and their optimal management strategies are uncertain. Case details: We present two cases of peri-implant fractures of distal humerus with long dynamic compression plate in situ. We report for the first time a strategy of...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Journal of Orthopaedic Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2773157X22001345 |
| _version_ | 1828038452262731776 |
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| author | Koushik Narayan Subramanyam Abhishek Vasant Mundargi Milind Vittal Prabhu Devagiri Raviteja Reddy |
| author_facet | Koushik Narayan Subramanyam Abhishek Vasant Mundargi Milind Vittal Prabhu Devagiri Raviteja Reddy |
| author_sort | Koushik Narayan Subramanyam |
| collection | DOAJ |
| description | Background: Non-prosthetic peri-implant fractures and under reported entities and their optimal management strategies are uncertain. Case details: We present two cases of peri-implant fractures of distal humerus with long dynamic compression plate in situ. We report for the first time a strategy of implant retention, open reduction with small incision, minimal internal fixation with K-wires and supplementary fixation with bilateral external fixator using Joshi's External Stabilizing System (JESS). Both fractures showed signs of union at three months from surgery. The fixators were removed at four months under sedation and patients were advised aggressive active mobilisation of the elbow. This resulted in sound union of the fracture with preservation of elbow motion without any complications. Conclusion: We recommend this method, as it is a simple, safe, effective and reproducible technique for management of peri-implant fractures of the humerus. |
| first_indexed | 2024-04-10T16:27:16Z |
| format | Article |
| id | doaj.art-c0acc002a27749b68b1aae88aa4c204f |
| institution | Directory Open Access Journal |
| issn | 2773-157X |
| language | English |
| last_indexed | 2024-04-10T16:27:16Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Orthopaedic Reports |
| spelling | doaj.art-c0acc002a27749b68b1aae88aa4c204f2023-02-09T04:15:08ZengElsevierJournal of Orthopaedic Reports2773-157X2023-01-0121100126A simple treatment strategy for peri-implant fracture of the humerus: Report of two casesKoushik Narayan Subramanyam0Abhishek Vasant Mundargi1Milind Vittal Prabhu2Devagiri Raviteja Reddy3Corresponding author. Dept of Orthopaedics, Sri SathyaSai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, 515134, India.; Dept of Orthopaedics, Sri SathyaSai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, 515134, IndiaDept of Orthopaedics, Sri SathyaSai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, 515134, IndiaDept of Orthopaedics, Sri SathyaSai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, 515134, IndiaDept of Orthopaedics, Sri SathyaSai Institute of Higher Medical Sciences, Prashanthigram, Puttaparthi, Andhra Pradesh, 515134, IndiaBackground: Non-prosthetic peri-implant fractures and under reported entities and their optimal management strategies are uncertain. Case details: We present two cases of peri-implant fractures of distal humerus with long dynamic compression plate in situ. We report for the first time a strategy of implant retention, open reduction with small incision, minimal internal fixation with K-wires and supplementary fixation with bilateral external fixator using Joshi's External Stabilizing System (JESS). Both fractures showed signs of union at three months from surgery. The fixators were removed at four months under sedation and patients were advised aggressive active mobilisation of the elbow. This resulted in sound union of the fracture with preservation of elbow motion without any complications. Conclusion: We recommend this method, as it is a simple, safe, effective and reproducible technique for management of peri-implant fractures of the humerus.http://www.sciencedirect.com/science/article/pii/S2773157X22001345Peri-implant fractureHumerusJESSExternal fixator |
| spellingShingle | Koushik Narayan Subramanyam Abhishek Vasant Mundargi Milind Vittal Prabhu Devagiri Raviteja Reddy A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases Journal of Orthopaedic Reports Peri-implant fracture Humerus JESS External fixator |
| title | A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases |
| title_full | A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases |
| title_fullStr | A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases |
| title_full_unstemmed | A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases |
| title_short | A simple treatment strategy for peri-implant fracture of the humerus: Report of two cases |
| title_sort | simple treatment strategy for peri implant fracture of the humerus report of two cases |
| topic | Peri-implant fracture Humerus JESS External fixator |
| url | http://www.sciencedirect.com/science/article/pii/S2773157X22001345 |
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