Skip to main content
main-content

01.12.2017 | Review | Ausgabe 1/2017 Open Access

Journal of Orthopaedic Surgery and Research 1/2017

Current concepts in locking plate fixation of proximal humerus fractures

Zeitschrift:
Journal of Orthopaedic Surgery and Research > Ausgabe 1/2017
Autoren:
Christoph J. Laux, Florian Grubhofer, Clément M. L. Werner, Hans-Peter Simmen, Georg Osterhoff

Abstract

Despite numerous available treatment strategies, the management of complex proximal humeral fractures remains demanding. Impaired bone quality and considerable comorbidities pose special challenges in the growing aging population. Complications after operative treatment are frequent, in particular loss of reduction with varus malalignment and subsequent screw cutout. Locking plate fixation has become a standard in stabilizing these fractures, but surgical revision rates of up to 25% stagnate at high levels. Therefore, it seems of utmost importance to select the right treatment for the right patient. This article provides an overview of available classification systems, indications for operative treatment, important pathoanatomic principles, and latest surgical strategies in locking plate fixation. The importance of correct reduction of the medial cortices, the use of calcar screws, augmentation with bone cement, double-plate fixation, and auxiliary intramedullary bone graft stabilization are discussed in detail.
Literatur
Über diesen Artikel

Weitere Artikel der Ausgabe 1/2017

Journal of Orthopaedic Surgery and Research 1/2017 Zur Ausgabe


 

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Mail Icon II Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Orthopädie und Unfallchirurgie und bleiben Sie gut informiert – ganz bequem per eMail.

Bildnachweise