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Intramedullary Fixation for Proximal Humeral Fractures.

07:00 EST 17th December 2019 | BioPortfolio

Summary of "Intramedullary Fixation for Proximal Humeral Fractures."

Proximal humeral fractures are a commonly encountered injury; however, no consensus has been reached for the ideal treatment. Current surgical fixation options include plate, plate with fibular strut allograft, intramedullary fixation, pinning, suture constructs, and external fixation. Each of these options possesses distinct advantages and disadvantages. With the evolution of implant design, a greater understanding of the mechanisms of failure of fixation, and the ability to preserve fracture biology, the management of proximal humeral fractures with intramedullary fixation has become an accepted treatment option. From a biomechanical perspective, intramedullary fixation may have advantages over laterally based fixation, in particular with fractures associated with significant calcar comminution. The ability to insert the implant from a superior starting point may help preserve vascular supply to the humeral head and tuberosities. With reported outcomes comparable with the aforementioned techniques and an evolving understanding of fracture characteristics and failures of fixation, intramedullary fixation represents an alternative treatment option for proximal humeral fractures with specific fixation and biologic advantages.

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This article was published in the following journal.

Name: The Journal of the American Academy of Orthopaedic Surgeons
ISSN: 1940-5480
Pages:

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PubMed Articles [2281 Associated PubMed Articles listed on BioPortfolio]

Proximal Humeral Fractures: "Damned If You Operate, and Damned If You Don't": Commentary on an article by C. Michael Robinson, FRCSEd(Tr&Orth), et al.: "Complications and Long-Term Outcomes of Open Reduction and Plate Fixation of Proximal Humeral Fractures".

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Medical and Biotech [MESH] Definitions

Fractures of the HUMERUS.

The use of nails that are inserted into bone cavities in order to keep fractured bones together.

Fractures of the proximal humerus, including the head, anatomic and surgical necks, and tuberosities.

Benign and malignant neoplasms which occur within the substance of the spinal cord (intramedullary neoplasms) or in the space between the dura and spinal cord (intradural extramedullary neoplasms). The majority of intramedullary spinal tumors are primary CNS neoplasms including ASTROCYTOMA; EPENDYMOMA; and LIPOMA. Intramedullary neoplasms are often associated with SYRINGOMYELIA. The most frequent histologic types of intradural-extramedullary tumors are MENINGIOMA and NEUROFIBROMA.

Fractures of the short, constricted portion of the thigh bone between the femur head and the trochanters. It excludes intertrochanteric fractures which are HIP FRACTURES.

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