Intramedullary allograft fibula as a reduction and fixation tool for treatment of complex proximal humerus fractures with diaphyseal extension.

Abstract:

SUMMARY:In this study, we present a novel technique for reduction and fixation of complex, unstable proximal humerus fractures with diaphyseal extension with the assistance of fibula allograft. We treated 14 patients using this technique since 2009 and found that it improves the reduction and enhances fixation while making the surgical procedure technically more manageable, and allows for early postoperative motion. In the first part of this study, we describe in detail the indications and surgical technique applied to these fractures. In the second part, we review the clinical and radiographic outcomes of these patients. Using this new technique, we have achieved an excellent union rate with minimal incidence of complications when treating these challenging fractures.

journal_name

J Orthop Trauma

authors

Berkes MB,Little MT,Lazaro LE,Cymerman RM,Pardee NC,Helfet DL,Dines JS,Lorich DG

doi

10.1097/BOT.0b013e31829a346d

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

e56-64

issue

3

eissn

0890-5339

issn

1531-2291

pii

00005131-201403000-00014

journal_volume

28

pub_type

杂志文章
  • Vascular abnormalities as assessed with CT angiography in high-energy tibial plafond fractures.

    abstract:OBJECTIVE:The purpose of this study was to examine the results of computed tomography angiography (CTA) obtained in patients with high-energy tibial plafond fractures and assess if the information gleaned from CTA could be useful to the treating orthopedic surgeon. DESIGN:Consecutive patient series. SETTING:Level 2 t...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31815cf6e9

    authors: LeBus GF,Collinge C

    更新日期:2008-01-01 00:00:00

  • A staged protocol for soft tissue management in the treatment of complex pilon fractures.

    abstract:OBJECTIVE:To determine whether open reduction and internal fixation of intra-articular pilon fractures using a staged treatment protocol results in minimal surgical wound complications. DESIGN:Retrospective. SETTING:Level 1 trauma center. PATIENTS/PARTICIPANTS:Between January 1991 and December 1996, 226 pilon fractu...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199902000-00002

    authors: Sirkin M,Sanders R,DiPasquale T,Herscovici D Jr

    更新日期:1999-02-01 00:00:00

  • Lengthening of the femur over an existing intramedullary nail.

    abstract::Leg length discrepancies can occur despite successful union of femur fractures after intramedullary nailing (IMN). Often, the leg length discrepancy can result in significant disability to the patient, altered gait biomechanics, pelvic obliquity, and pain. Therefore, a successful clinical result for such deformities a...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e3181f92d6e

    authors: Kim HJ,Fragomen AT,Reinhardt K,Hutson JJ Jr,Rozbruch SR

    更新日期:2011-11-01 00:00:00

  • Arthroplasty Versus Internal Fixation for the Treatment of Undisplaced Femoral Neck Fractures: A Retrospective Cohort Study.

    abstract:OBJECTIVE:To compare the 24-month risk of mortality between arthroplasty and internal fixation for undisplaced femoral neck fractures (FNFs). DESIGN:Retrospective cohort study. SETTING:Secondary data analysis of 2 multinational randomized controlled trials. PARTICIPANTS:Patients aged 50 years or older with a FNF. I...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001940

    authors: Afaq S,OʼHara NN,Schemitsch EH,Bzovsky S,Sprague S,Poolman RW,Frihagen F,Heels-Ansdell D,Bhandari M,Swiontkowski M,Slobogean GP,FAITH Investigators.,HEALTH Investigators.

    更新日期:2020-11-01 00:00:00

  • Removal of a broken Synthes proximal spiral blade.

    abstract::Use of cephalomedullary nails is an option for treatment of subtrochanteric femur fractures. However, the magnitude of bending forces in this area of the femur often can lead to implant failure before union. We report on a case of hardware failure of a specific device (Synthes spiral blade) and a method for removal. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199803000-00010

    authors: Stover MD,Lin I,Bosse MJ

    更新日期:1998-03-01 00:00:00

  • Long-term outcome after operative treatment of traumatic patellar dislocation in adolescents.

    abstract:OBJECTIVES:Retrospective evaluation of the long-term outcomes after surgical treatment of traumatic patellar dislocations in adolescents and identification of possible predictive factors of poor outcomes. DESIGN:Retrospective clinical study. SETTING:University Clinic, Level I Trauma Center. PATIENTS:All 33 adolescen...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318299cb50

    authors: Hartmann F,Dietz SO,Rommens PM,Gercek E

    更新日期:2014-03-01 00:00:00

  • Comminuted fractures of the iliac wing.

    abstract:PURPOSE:Comminuted iliac fractures are uncommon and difficult to treat. The purpose of this study is to further delineate the fractures, to present a management protocol, and to evaluate the results of treatment. DESIGN:Retrospective clinical study. SETTING:Level one trauma center at Harborview Medical Center. PATIE...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-200005000-00008

    authors: Switzer JA,Nork SE,Routt ML Jr

    更新日期:2000-05-01 00:00:00

  • Internal fixation of the unstable cervical spine using posterior Roy-Camille plates: preliminary report.

    abstract::We reviewed 13 cases of unstable cervical spine treated by stabilization with posterior Roy-Camille plates and fusion. The patients were treated between 1985-1988. Six patients had acute traumatic episodes, three patients had posttraumatic instabilities, one patient had laminectomy for cervical spondylotic myelopathy,...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198903010-00005

    authors: Ebraheim NA,An HS,Jackson WT,Brown JA

    更新日期:1989-01-01 00:00:00

  • Treatment of Periprosthetic Humerus Fractures With Open Reduction and Internal Fixation.

    abstract::Periprosthetic humerus fractures are relatively uncommon occurrence that can be difficult to manage nonoperatively. Locking plate technology has enhanced the surgical management of these fractures. However, adequate fixation around the stem remains of some concern. We describe an osteosynthesis technique using a locki...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000646

    authors: Kurowicki J,Momoh E,Levy JC

    更新日期:2016-11-01 00:00:00

  • Pullout force of power-driven staples in cadaveric femoral metaphysis.

    abstract::The maximum pullout force in the distal metaphysis of cadaver femurs was investigated using a commercially available, pneumatically inserted staple. In paired studies, a significantly greater pullout force was required in the power-driven staples than in an almost identical sized hand-driven staple. A nonlinear relati...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199004020-00009

    authors: McCombe PF,Thomas AM,Pynsent PB,Thompson AG

    更新日期:1990-01-01 00:00:00

  • Management of Hangman's Fractures: A Systematic Review.

    abstract:BACKGROUND:Traumatic spondylolisthesis of the axis, is a common cervical spine fracture; however, to date there is limited data available to guide the treatment of these injuries. The purpose of this review is to provide an evidence-based analysis of the literature and clinical outcomes associated with the surgical and...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000000952

    authors: Murphy H,Schroeder GD,Shi WJ,Kepler CK,Kurd MF,Fleischman AN,Kandziora F,Chapman JR,Benneker LM,Vaccaro AR

    更新日期:2017-09-01 00:00:00

  • Dual-purpose bone grafts improve healing and reduce infection.

    abstract:OBJECTIVE:To determine if a dual-purpose bone graft can regenerate bone and reduce infection in highly contaminated bone critical size defects in rats. METHODS:Biodegradable polyurethane (PUR) scaffolds were loaded with recombinant human bone morphogenetic protein-2 (BMP-2) and vancomycin (Vanc). The release kinetics ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31821f624c

    authors: Guelcher SA,Brown KV,Li B,Guda T,Lee BH,Wenke JC

    更新日期:2011-08-01 00:00:00

  • Comparison of Early Fatigue Failure of the TFNa and Gamma 3 Cephalomedullary Nails in the United States From 2015 to 2019.

    abstract:OBJECTIVES:To compare reports of implant fatigue failure submitted to the FDA of 2 commonly used cephalomedullary nails. METHODS:In total, 2724 medical device reports from the FDA's MAUDE database from Jan 2015 to Oct 2019 were reviewed for the Trochanteric Femoral Nail-Advanced (TFNa) and Gamma 3 implants. RESULTS:D...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001864

    authors: Klima ML

    更新日期:2021-02-01 00:00:00

  • Biomechanical Assessment of Locked Plating for the Fixation of Patella Fractures.

    abstract:OBJECTIVE:To analyze the mechanical stability of locked plating in comparison with tension-band wiring for the fixation of fractures of the patella. METHODS:Biomechanical tests were performed on artificial foam patella specimens comparing an angular stable plate and monocortical screws with tension-band wiring. Tests ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000309

    authors: Wurm S,Augat P,Bühren V

    更新日期:2015-09-01 00:00:00

  • Teamwork in Trauma: System Adjustment to a Protocol for the Management of Multiply Injured Patients.

    abstract:OBJECTIVES:We developed a protocol to determine the timing of definitive fracture care based on the adequacy of resuscitation. Inception of this project required a multidisciplinary group, including physicians from anesthesiology, general trauma and critical care, neurosurgery, orthopaedic spine, and orthopaedic trauma...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000383

    authors: Vallier HA,Moore TA,Como JJ,Dolenc AJ,Steinmetz MP,Wagner KG,Smith CE,Wilczewski PA

    更新日期:2015-11-01 00:00:00

  • Fixation of periprosthetic femoral shaft fractures associated with cemented femoral stems: a biomechanical comparison of locked plating and conventional cable plates.

    abstract:UNLABELLED:To determine which of 2 techniques for the treatment of periprosthetic femoral shaft fractures is of greater stiffness. DESIGN:A laboratory study using 8 pairs of matched, embalmed femurs. METHODS:Femurs implanted with a cemented total hip prosthesis had a simulated periprosthetic femur fracture created di...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000199119.38359.96

    authors: Fulkerson E,Koval K,Preston CF,Iesaka K,Kummer FJ,Egol KA

    更新日期:2006-02-01 00:00:00

  • Subchondral screw fixation of cervical hip fractures: joint congruence studied with combined arthrography and tomography.

    abstract::This study was done to determine whether fixation with the Uppsala internal fixation technique into the subchondral bone of the femoral head in the treatment of cervical hip fractures could lead to elevation of the femoral head cartilage. Combined arthrography and frontal tomography of the hip joint in the plane of th...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-198909000-00004

    authors: Rehnberg L,Olerud C,Sahlstedt B

    更新日期:1989-01-01 00:00:00

  • Orthopaedic Trauma in the Developing World: Where Are the Gaps in Research and What Can Be Done?

    abstract:PURPOSE:There are an estimated 1.2 million deaths from road traffic injuries annually, disproportionately affecting patients in low-resource settings. The purpose of this scoping review is to identify knowledge gaps in global orthopaedic trauma in an effort to help prioritize future research. METHODS:Using the 6-stage...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/BOT.0000000000001293

    authors: Challa S,Wu HH,Cunningham BP,Liu M,Patel K,Shearer DW,Morshed S,Miclau T

    更新日期:2018-10-01 00:00:00

  • The Community Orthopaedic Surgeon Taking Trauma Call: Pediatric Femoral Shaft Fracture Pearls and Pitfalls.

    abstract::Pediatric femoral shaft fractures present many challenging patient care decisions. Nonoperative treatment approaches still dominate care of the youngest age groups while surgical intervention is commonplace in virtually all older children. Treatment is determined primarily by patient age as modified by clinical factor...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001016

    authors: Gordon JE,Mehlman CT

    更新日期:2017-11-01 00:00:00

  • Biomechanical Assessment of Locking Plate Fixation of Comminuted Proximal Olecranon Fractures.

    abstract:OBJECTIVES:To determine if mean ultimate strength or failure mechanism differed between comminuted olecranon fractures created at the proximal 25% or 50% of the trochlear notch and fixed with precontoured posterior locking plates (PLPs). METHODS:Comminuted osteotomies were created in 10 matched pairs of cadaveric uppe...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001279

    authors: Fantry A,Sobel A,Capito N,Hodax JD,Pidgeon T,Koruprolu S,Rich R,Fava JL,Green A,Paxton S

    更新日期:2018-11-01 00:00:00

  • A prospective, randomized study of intramedullary nails inserted with and without reaming for the treatment of open and closed fractures of the tibial shaft.

    abstract:OBJECTIVES:To determine if there are differences in healing, complications, or number of procedures required to obtain union among open and closed tibia fractures treated with intramedullary (IM) nails inserted with and without reaming. DESIGN:Prospective, surgeon-randomized comparative study. SETTING:Level One traum...

    journal_title:Journal of orthopaedic trauma

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00005131-200003000-00007

    authors: Finkemeier CG,Schmidt AH,Kyle RF,Templeman DC,Varecka TF

    更新日期:2000-03-01 00:00:00

  • Triangular osteosynthesis of vertically unstable sacrum fractures: a new concept allowing early weight-bearing.

    abstract:OBJECTIVE:Presentation of a new triangular osteosynthesis technique that permits early weight-bearing in vertically unstable sacral fractures. DESIGN:Retrospective evaluation of a consecutive series. SETTING:Level I trauma center. PATIENTS:Thirty-four patients, twenty-eight of whom were polytraumatized, all with ver...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199806000-00002

    authors: Schildhauer TA,Josten C,Muhr G

    更新日期:1998-06-01 00:00:00

  • Biomechanical effects of internal fixation of the distal tibiofibular syndesmotic joint: comparison of two fixation techniques.

    abstract::This biomechanical study compares two methods of internal fixation of the tibiofibular syndesmosis used in Weber type C malleolar fractures of the ankle. The transverse syndesmotic 3.5-mm screw was compared with two 1.5-mm Kirschner wires introduced obliquely across the distal tibiofibular syndesmosis. The influence o...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/00005131-199406000-00006

    authors: Peter RE,Harrington RM,Henley MB,Tencer AF

    更新日期:1994-01-01 00:00:00

  • Definitive Management of Distal Tibia and Simple Plafond Fractures With Circular External Fixation.

    abstract::Obtaining optimal results in the treatment of extraarticular distal tibia fractures can be challenging. Plate and screw and intramedullary fixation have proven to be effective treatments, but are associated with significant complication rates when used for open fractures and patient with severe medical comorbidities. ...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000000694

    authors: Quinnan SM

    更新日期:2016-11-01 00:00:00

  • Initial radiographic evaluation of the spine after trauma: when, what, where, and how to image the acutely traumatized spine.

    abstract:BACKGROUND:Radiographic evaluation of the spine after an acute traumatic event is an integral part of the initial assessment of the patient. Despite this, an imaging protocol that includes detailed recommendations of the views, modalities, and techniques of radiographic work-up is lacking in the peer-reviewed literatur...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/01.bot.0000188036.69078.ef

    authors: France JC,Bono CM,Vaccaro AR

    更新日期:2005-10-01 00:00:00

  • Chipping and lengthening technique for delayed unions and nonunions with shortening or bone loss.

    abstract::Autologous bone graft is usually necessary for reconstruction of nonunions with shortening or bone loss. We developed a new technique to reconstruct such nonunions or delayed unions without bone grafting by chipping and lengthening of bone at the original fracture site. Five in six nonunions with shortening or bone lo...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e318041f6d1

    authors: Matsushita T,Watanabe Y

    更新日期:2007-07-01 00:00:00

  • Greenstick fracture of the scapula: a cause of scapular winging.

    abstract::A case of an angulated, greenstick fracture of the scapula mimicking scapular winging in a skeletally immature 12-year-old boy is described. The bony deformity was visualized with plain radiography. CT was helpful in exclusion of a thoracic injury or an underlying neoplasm. Closed reduction yielded satisfactory result...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/01.bot.0000174707.10980.f4

    authors: Bowen TR,Miller F

    更新日期:2006-02-01 00:00:00

  • Mortality after pelvic fractures in the elderly.

    abstract::Theoretically, fissures and minor fractures of the pelvis sustained by the elderly after low-energy trauma may lead to thromboembolic complications. Few studies exist, but clinically, these injuries had been considered to have an excellent prognosis until a recent study reported a 10% fatality rate from pulmonary embo...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章,评审

    doi:10.1097/00005131-198906000-00005

    authors: Rossvoll I,Finsen V

    更新日期:1989-01-01 00:00:00

  • Negative pressure wound therapy reduces deep infection rate in open tibial fractures.

    abstract:OBJECTIVES:To evaluate the effect of negative pressure wound therapy (NPWT) on deep infection rate in open tibial fractures. DESIGN:Retrospective cohort study. Data was collected from medical records and radiographs. SETTING:Two level-1 trauma centers. PATIENTS/PARTICIPANTS:Patients who sustained an open tibial frac...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0b013e31824133e3

    authors: Blum ML,Esser M,Richardson M,Paul E,Rosenfeldt FL

    更新日期:2012-09-01 00:00:00

  • Quality of Reduction of Displaced Intra-Articular Calcaneal Fractures Using a Sinus Tarsi versus Extensile Lateral Approach.

    abstract:OBJECTIVE:To evaluate the difference in quality of fracture reduction between the sinus tarsi approach (STA) and extensile lateral approach (ELA) using postoperative CT scans in displaced intra-articular calcaneal fractures (DIACFs). DESIGN:Retrospective SETTING:: Level 1 and Level 2 academic centers. PATIENTS:Consec...

    journal_title:Journal of orthopaedic trauma

    pub_type: 杂志文章

    doi:10.1097/BOT.0000000000001971

    authors: Busel G,Mir HR,Merimee S,Patel R,Atassi O,De La Fuente G,Donohue D,Maxson B,Infante A,Shah A,Watson D,Downes K,Sanders RW

    更新日期:2020-09-18 00:00:00