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KMID : 0386420110240020185
Journal of the Korean Fracture Society
2011 Volume.24 No. 2 p.185 ~ p.190
Periprosthetic Fracture after Proximal Humeral Intramedullary Nail, Treated by Functional Bracing ? A Case Report ?
Shin Jae-Hyuk

Chang Ho-Geun
Kim Young-Woo
Lee Nam-Kyou
Park Yong-Bok
Kim Yong-Kuk
Abstract
Periprosthetic fracture following a proximal humeral intramedullary (IM) nailing is rarely reported neither for its occurrence nor for its treatment. Proximal humeral IM nail (Acumed, LLC, Hillsboro, OR, USA) has been increasingly reported of its successful treatment outcomes, yet there is paucity of data describing its complications. Here we report a 26 year-old female patient, who sustained a proximal humerus fracture which was initially successfully treated by proximal humeral IM nail, and was complicated by a periprosthetic fracture distal to the nail tip at postoperative 4 months. Serial application of U-shaped coaptation splint, hanging cast, and functional bracing resulted in satisfactory clinical outcome. Periprosthetic fracture after proximal humerus IM nail can occur by a low energy injury, which need to reminded in treating young and sports-active patients.
KEYWORD
Proximal humerus fracture, Periprosthetic fracture, Proximal humeral IM nail
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