Open intramedullary nailing with tension band and locking sutures for proximal humeral fracture: Hot air balloon technique

Park, Jin‐Young; An, Jin-Woo; Oh, Jeong-Hwan

doi:10.1016/j.jse.2006.01.001

Cited by 32 publications

(15 citation statements)

References 39 publications

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“…5 braided nonabsorbable sutures. 5 However, it is technically difficult to wind tension band sutures on the head of the interlocking screw. Following stabilization of the proximal humerus fracture using the Polarus nail, the benefit of our simple technique for preventing distraction and varus deformity between the humeral head and shaft is that the tension band suture between the head of the interlocking screw and rotator cuff is performed easily and effectively, with sufficient tension band sutures.…”

Section: Discussionmentioning

confidence: 99%

Tension Band Sutures Using a Washer for a Proximal Humerus Fracture

Kim

Rhee²,

Shin³

2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

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Section: Discussionmentioning

confidence: 99%

Tension Band Sutures Using a Washer for a Proximal Humerus Fracture

Kim

Rhee²,

Shin³

2008

Journal of Trauma: Injury, Infection &Amp; Critical Care

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“…Critical features of a straight antegrade nail are the inevitable longitudinal incision of the rotator cuff and the loss of articular cartilage by drilling the insertion point at the apex of the humeral head fragment [9,[27][28][29][30][31][32].…”

Section: Discussionmentioning

confidence: 99%

Arthroscopical Findings after Antegrade Nailing of a Proximal Humeral Fracture

Großterlinden

Ueblacker

Rueger

2007

Eur J Trauma Emerg Surg

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Proximal humeral fractures represent up to five percent of all fractures in adults, commonly found in elderly patients. The final functional results after different operative procedures are among other factors dependent on whether or not a rotator cuff lesion is pre-existent, prior to the fracture, and how its surgical therapy is carried out. However, to what extent prior rotator cuff tears in this special patient group contribute to the functional outcome remains widely unclear. In our institution antegrade intramedullary nailing is the treatment of choice for proximal humeral fractures. One critical point of this technique is the unavoidable split of the rotator cuff on the approach to the proximal humerus and the insertion of the nail through the incised cuff. We report on a case of an impingement after antegrade intramedullary nailing of a proximal humeral fracture. Diagnostic glenohumeral arthroscopy revealed neither a residual lesion of the former rotator cuff incision nor a chondral lesion at the former insertion site of the nail. In the same session subacromial decompression and a nettoyage of adhesions were performed. We assume that splitting the rotator cuff for the insertion of an antegrade nail in a proximal humeral fracture is less relevant than previously assumed and described.

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“…[20] Bu konuda yapılan yayınlar toparlandığında, yöntemin mükemmel sonuç olarak ifade eden %78 ile %89 arasında değişmektedir. [21][22][23][24][25] Şekil 3. Kırk yedi yaşında erkek hastada cerrahi boyun kırığı ve kanüllü vida ile tedavi.…”

Section: Kapalı Redüksiyon Ve Perkütan Kirschner Teli (K-teli) Ile Teunclassified

Minimaly invasive surgery and locking plate fixation in proximal humerus fractures

Demirtaş¹

2012

TOTBİD Dergisi

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Proksimal humerus kırıkları özellikle yaşlı ve osteoporotik nüfusun hastalığı olmakla birlikte, yüksek enerjili travmalar sonrası genç nüfusta da oluşabilir. Özellikle son otuz yılda yapılan çalışmalar ile proksimal humerus kırıklarının evrelendirilmesi ve kırığın morfolojisinin ve vaskülaritesinin anlaşılması ile bu kırıkların prognozu hakkındaki önsezilerimiz güçlenmiştir. AO kırık prensipleri çerçevesinde kilitli anatomik plakların geliştirilmesi ile proksimal humerus kırıklarının tedavisinde kırığın kaynaması ve erken harekete başlanması açısından önemli bir yol katedilmiştir. Kırığın tipine göre tedavide konservatif yöntemlerin yanı sıra vida tespiti, sütür tespiti, gergi bandı, intramedüller çivi uygulaması, plak osteosentez ve artroplasti gibi pek çok cerrahi yaklaşım ve tespit tekniği uygulanmaktadır. Minimal invaziv cerrahi yaklaşımlar, minimal invaziv osteosentez ve kullanılan biyolojik tespit yötemleri ile tedavide, hem kırık hattındaki kanlanma bozulmadan hem de daha düşük morbidite ile yüksek oranda başarı sağlanmaktadır. Anahtar sözcükler: Kilitli plakla tespit; minimal invaziv cerrahi; proksimal humerus kırıkları.

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Open intramedullary nailing with tension band and locking sutures for proximal humeral fracture: Hot air balloon technique

Cited by 32 publications

References 39 publications

Tension Band Sutures Using a Washer for a Proximal Humerus Fracture

Tension Band Sutures Using a Washer for a Proximal Humerus Fracture

Arthroscopical Findings after Antegrade Nailing of a Proximal Humeral Fracture

Minimaly invasive surgery and locking plate fixation in proximal humerus fractures

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