A simple and effective implant for displaced fractures of the greater tuberosity: the "Bamberg" plate

被引:23
作者
Schoeffl, Volker [1 ]
Popp, Dominik [1 ]
Strecker, Wolf [1 ]
机构
[1] Klinikum Bamberg, Klin Orthopadie & Unfallchirurg, Bamberg, Germany
关键词
Shoulder; Greater tuberosity fracture; PROXIMAL HUMERAL FRACTURES; FIXATION;
D O I
10.1007/s00402-010-1175-3
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Displaced fractures of the greater tuberosity are common findings in trauma surgical patients. Nevertheless, osteosynthesis of these fractures impairs the risk of secondary dislocation or secondary impingement due to the implant (e.g., 4.5 mm cancellous screws with spiked washers). We present an easy and simple technique/implant to perform an osteosynthesis of multiple-fractured greater tuberosity fractures. We use a self-adjusted calcaneus titanium plate (Litos(A (R))) which is cut into a 6 or more holed small plate. In ten patients we had excellent postoperative outcomes with no complications and no secondary loss of reduction. The surgical technique is easy and efficient.
引用
收藏
页码:509 / 512
页数:4
相关论文
共 11 条
[1]  
CONSTANT CR, 1987, CLIN ORTHOP RELAT R, P160
[2]   Transosseous suture fixation of proximal humeral fractures [J].
Dimakopoulos, Panayiotis ;
Panagopoulos, Andreas ;
Kasimatis, Georgios .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2007, 89A (08) :1700-1709
[3]   Isolated tuberosity fractures of the proximal humerus: Current concepts [J].
Gruson, Konrad I. ;
Ruchelsman, David E. ;
Tejwani, Nirmal C. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2008, 39 (03) :284-298
[4]   Functional results of angular-stable plate fixation in displaced proximal humeral fractures [J].
Handschin, Alexander E. ;
Cardell, Markus ;
Contaldo, Claudio ;
Trentz, Otmar ;
Wanner, Guido A. .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2008, 39 (03) :306-313
[6]   Plating of humeral shaft fractures - has the pendulum swung back? [J].
Niall, DM ;
O'Mahony, J ;
McElwain, JP .
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2004, 35 (06) :580-586
[7]   Displaced Fractures of the Greater Tuberosity: A Comparison of Operative and Nonoperative Treatment [J].
Platzer, Patrick ;
Thalhammer, Gerhild ;
Oberleitner, Gerhard ;
Kutscha-Lissberg, Florian ;
Wieland, Thoinas ;
Vecsei, Vilmos ;
Gaebler, Christian .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2008, 65 (04) :843-848
[8]   Fractures of the humeral head [J].
Resch, H .
UNFALLCHIRURG, 2003, 106 (08) :602-617
[9]   Reversed arthroscopic subacromial decompression for massive rotator cuff tears [J].
Scheibel, M ;
Lichtenberg, S ;
Habermeyer, P .
JOURNAL OF SHOULDER AND ELBOW SURGERY, 2004, 13 (03) :272-278
[10]   Arthroscopic reduction and fixation with suture-bridge technique for displaced or comminuted greater tuberosity fractures [J].
Song, Hyun Seok ;
Williams, Gerald R., Jr. .
ARTHROSCOPY-THE JOURNAL OF ARTHROSCOPIC AND RELATED SURGERY, 2008, 24 (08) :956-960