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Early complications of operatively treated proximal humeral fractures

Smith, Adam M. ; Mardones, Rodrigo M. ; Sperling, John W. ; Cofield, Robert H.

Journal of Shoulder and Elbow Surgery, 1/2007, Vol.16(1), pp.14-24 [Rivista Peer Reviewed]

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  • Titolo:
    Early complications of operatively treated proximal humeral fractures
  • Autore: Smith, Adam M. ; Mardones, Rodrigo M. ; Sperling, John W. ; Cofield, Robert H.
  • Note di contenuto: To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.jse.2006.05.008 Byline: Adam M. Smith (a), Rodrigo M. Mardones (b), John W. Sperling (c), Robert H. Cofield (c) Abstract: Minimal information exists regarding early complications after operatively treated proximal humeral fractures. Of the 82 shoulders that had osteosynthesis, 42 had a (nonmedical) complication, with 21 requiring further surgery. Of 42 shoulders with complications, 12 were related to incomplete reduction, 16 had loss of anatomic fracture fixation, 9 had delayed healing, 3 had an infection, 1 had rotator cuff failure, and 1 had loose bodies. Fixed-angle plates had lower rates of initial malpositioning and resultant malunion. Of the 22 shoulders requiring hemiarthroplasty, 14 had an early complication. Of these, 7 had complications relating to implant insertion or tuberosity malreduction at the index operation and 7 had problems with tuberosity healing. The rate of complications after operative treatment of proximal humeral fractures is high. All efforts at fracture fragment fixation with osteosynthesis and hemiarthroplasty should be directed at obtaining anatomic fracture fixation that resists displacement. Author Affiliation: (a) Kentucky Sports Medicine Clinic, Lexington, KY, USA (b) Departmento de Ortopedia y Traumatologia, Pontificia Universidad Catolica de Chile, Santiago, Chile (c) Department of Orthopedic Surgery, Mayo Clinic and Mayo Foundation, Rochester, MN.
  • Fa parte di: Journal of Shoulder and Elbow Surgery, 1/2007, Vol.16(1), pp.14-24
  • Lingua: Inglese
  • Tipo: Articolo
  • Identificativo: ISSN: 10582746 ; DOI: http://dx.doi.org/10.1016/j.jse.2006.05.008
  • Fonte: Elsevier (via CrossRef)

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