DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20194606

Treatment of humerus fracture with wise-lock implants

Prashant Kumar, Mohit Kumar, Pooja Rawat, Gaurav Luthra

Abstract


Background: Humerus fracture is a common fracture in aging population mainly occurring due to fall, high energy trauma and sports injury. Locking plate treatment is showing good results in stabilization of the fracture. The purpose of this study is to showcase the surgical treatment and results by using Auxein locking implants for the treatment of proximal humeral fracture.

Methods: Prospectively 13 patients were treated with ORIF treatment (6 males, 7 females with an average age of 43.6years). Fracture type is classified as per the Muller AO classification of fracture, 6 patients had type 11-A1 and 7 patients had type 11-A2. 1 patient were felt under American Society of Anesthesiologists grade 2 have mild systemic disease. Clinical outcomes were assessed at 1year follow-up with visual analogue scale score at 4 week, 16 week, 24 week and 1 year.

Results: The follow-up of patients was taken at 4th, 16th, 24th and 1 year bearing good clinical results. 2 patients were encountered with pain, these were elderly patients of the age 58 and 62 and had a history of other medical commodities. One patient reported of less weigh bearing ability which was relieved with physiotherapy.

Conclusions: Open reduction internal fixation treatment with Pheelos 3.5 mm wise lock proximal humerus plate showed good results with improved performance and negligible complications. 


Keywords


Humerus fracture, Proximal humerus fracture, Long and short Pheelos plate, Locking implants

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References


Chen JL, Chang FC, Lin SJ, Chuang PY, Peng KT, Huang KC, Huang TW. The outcome of surgical management of proximal humeral fractures using locking plates: comparison between locking plates with different geometry. J Shoulder Elb Surg. 2018;12:2159-66.

Vijayvargiya M, Pathak A, Gaur S. Outcome analysis of locking plate fixation in proximal humerus fracture. JCDR. 2016:10(8):01.

Iannotti JP, Ramsey ML, Williams JG, Warner JJ. Nonprosthetic management of proximal humeral fractures. Instructional course lectures. 2004;53:403-16.

Müller ME, Nazarian S, Koch P, Schatzker J. The comprehensive classification of fractures of long bones. Springer Science and Business Media. 2012.

Handoll HH, Brorson S. Interventions for treating proximal humeral fractures in adults. Cochrane Database of Systematic Reviews. 2015:11.

Röderer G, Erhardt J, Kuster M, Vegt P, Bahrs C, Kinzl L, et al. Second generation locked plating of proximal humerus fractures—a prospective multicentre observational study. Int Orthopaed. 2011;35(3):425-32.

Zarezadeh A, Mamelson K, Thomas WC, Schoch BS, Wright TW, King JJ. Outcomes of distal humerus fractures: What are we measuring? Orthopaed Traumatol Surg Res. 2018;104(8):1253-8.

Wachtl SW, Marti CB, Hoogewoud HM, Jakob RP, Gautier E. Treatment of proximal humerus fracture using multiple intramedullary flexible nails. Archiv Orthopaed Trauma Surg. 2000;120(3-4):171-5.

Sarmiento A, Zagorski JB, Zych GA, Latta LL, Capps CA. Functional bracing for the treatment of fractures of the humeral diaphysis. JBJS. 2000;82(4):478.

Changulani M, Jain UK, Keswani T. Comparison of the use of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. A randomised controlled study. Int Orthopaed. 2007;31(3):391-5.

Chapman JR, Henley MB, Agel J, Benca PJ. Randomized prospective study of humeral shaft fracture fixation: intramedullary nails versus plates. J Orthopaed Trauma. 2000;14(3):162-6.

Jawa A, McCarty P, Doornberg J, Harris M, Ring D. Extra-articular distal-third diaphyseal fractures of the humerus: a comparison of functional bracing and plate fixation. JBJS. 2006;88(11):2343-7.

Koch PP, Gross DF, Gerber C. The results of functional (Sarmiento) bracing of humeral shaft fractures. J Shoulder Elbow Surg. 2002;11(2):143-50.

Woon CYL. Cutaneous complications of functional bracing of the humerus: a case report and literature review. JBJS. 2010;92(8):1786-9.