A comparative retrospective study of locking plate fixation versus a dedicated external fixator of 3- and 4-part proximal humerus fractures: Results after 5 years

Vicenti, Giovanni; Abate, Antonella; Filipponi, Marco; Conserva, Vito; Solarino, Giuseppe; Carrozzo, M; Moretti, Biagio

doi:10.1016/j.injury.2019.01.051

Cited by 8 publications

(4 citation statements)

References 53 publications

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“…Locking proximal humeral plate (LPHP) fixation is a common internal fixation method for the treatment of CPHFs, which can provide reliable and effective internal fixation for patients with type II, III, and IV fractures [ 7 , 8 ]. LPHP fixation is performed with the help of C-arm fluoroscopy to reconstruct the anatomical structure of the proximal humerus, with the placement of locking plates and fixation of the plates with bicortical screws [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Intramedullary Nailing in the Treatment of Comminuted Proximal Humeral Fractures and Its Influence on Shoulder Joint Function Recovery

Lan

Xie

Que

et al. 2022

Journal of Healthcare Engineering

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In this paper, we have aimed to elucidate the therapeutic effect of intramedullary nailing (IMN) in treating comminuted proximal humeral fractures (CPHFs) and its influence on the recovery of shoulder joint function. For this purpose, 60 cases with CPHFs were selected, particularly from January 2020 to October 2021. In these cases, 28 cases were treated with a locking proximal humeral plate (LPHP) and assigned to the control (Con) group and the remaining 32 patients were treated with IMN and included in the research (Res) group. The therapeutic effect, surgical indicators, total complications, visual analogue scale (VAS) score, and postoperative shoulder joint function score were compared between the two arms. We observed that compared with the Con group, the effective rate in the Res group was higher while the operation time, intraoperative blood loss, and fracture healing time were shorter, the overall complication rate and VAS score were lower, and the postoperative shoulder joint function score was higher, all with statistical significance. The above results indicate that IMN is effective and safe in the treatment of CPHFs, which can validly reduce the discomfort of patients and facilitate the recovery of shoulder joint function.

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Section: Introductionmentioning

confidence: 99%

Efficacy of Intramedullary Nailing in the Treatment of Comminuted Proximal Humeral Fractures and Its Influence on Shoulder Joint Function Recovery

Lan

Xie

Que

et al. 2022

Journal of Healthcare Engineering

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“…That is why almost all studies of this type are limited to a single fracture pattern. Today, the majority of researchers are investigating proximal humerus 3-part fractures [15,[29][30][31]33,46], because of the actual recurrence of the pattern in the clinical field [2,17,36,47,48]. The 3-part fracture (AO/OTA 11B1.1) mostly involves the surgical neck and greater tuberosity.…”

Section: -Part Compression Wwwvideleafcommentioning

confidence: 99%

Trends in the Characterization of the Proximal Humerus in Biomechanical Studies: A Review

Castro-Franco¹,

Mendoza-Muñoz²,

González-Ángeles³

et al. 2022

Which Factors Contribute to Innovative Performance? A Case Study Applied to the Food and Beverage Industry

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Proximal humerus fractures are becoming more common due to the aging of the population, and more related scientific research is also emerging. Biomechanical studies attempt to optimize treatments, taking into consideration the factors involved, to obtain the best possible treatment scenario. To achieve this, the use of finite element analysis (FEA) is necessary, to experiment with situations that are difficult to replicate, and which are sometimes unethical. Furthermore, low costs and time requirements make FEA the perfect choice for biomechanical studies. Part of the complete process of an FEA involves three-dimensional (3D) bone modeling, mechanical properties assignment, and meshing the bone model to be analyzed. Due to the lack of standardization for bone modeling, properties assignment, and the meshing processes, this article aims to review the most widely used techniques to model the proximal humerus bone, according to its anatomy, for FEA. This study also seeks to understand the knowledge and bias behind mechanical properties assignment for bone, and the similarities/differences in mesh properties used in previous FEA studies of the proximal humerus. The Prime Archives in Applied Sciences 3 www.videleaf.com best ways to achieve these processes, according to the evidence, will be analyzed and discussed, seeking to obtain the most accurate results for FEA simulations.

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Section: -Part Compressionmentioning

confidence: 99%

Trends in the Characterization of the Proximal Humerus in Biomechanical Studies: A Review

Castro-Franco¹,

Mendoza-Muñoz²,

González-Ángeles³

et al. 2020

Applied Sciences

View full text Add to dashboard Cite

Proximal humerus fractures are becoming more common due to the aging of the population, and more related scientific research is also emerging. Biomechanical studies attempt to optimize treatments, taking into consideration the factors involved, to obtain the best possible treatment scenario. To achieve this, the use of finite element analysis (FEA) is necessary, to experiment with situations that are difficult to replicate, and which are sometimes unethical. Furthermore, low costs and time requirements make FEA the perfect choice for biomechanical studies. Part of the complete process of an FEA involves three-dimensional (3D) bone modeling, mechanical properties assignment, and meshing the bone model to be analyzed. Due to the lack of standardization for bone modeling, properties assignment, and the meshing processes, this article aims to review the most widely used techniques to model the proximal humerus bone, according to its anatomy, for FEA. This study also seeks to understand the knowledge and bias behind mechanical properties assignment for bone, and the similarities/differences in mesh properties used in previous FEA studies of the proximal humerus. The best ways to achieve these processes, according to the evidence, will be analyzed and discussed, seeking to obtain the most accurate results for FEA simulations.

show abstract

A comparative retrospective study of locking plate fixation versus a dedicated external fixator of 3- and 4-part proximal humerus fractures: Results after 5 years

Cited by 8 publications

References 53 publications

Efficacy of Intramedullary Nailing in the Treatment of Comminuted Proximal Humeral Fractures and Its Influence on Shoulder Joint Function Recovery

Efficacy of Intramedullary Nailing in the Treatment of Comminuted Proximal Humeral Fractures and Its Influence on Shoulder Joint Function Recovery

Trends in the Characterization of the Proximal Humerus in Biomechanical Studies: A Review

Trends in the Characterization of the Proximal Humerus in Biomechanical Studies: A Review

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