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KMID : 1207720120040040321
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Clinics in Orthopedic Surgery
2012 Volume.4 No. 4 p.321 ~ p.324
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Fixation Strategies to Prevent Screw Cut-Out and Malreduction in Proximal Humeral Fracture Fixation
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Namdari Surena
Lipman Adam J.
Ricchetti Eric T.
Tjoumakaris Fotios P.
Huffman G. Russell
Mehta Samir
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Abstract
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Fixation of proximal humerus fractures with precontoured, fixed angle devices has improved operative management of these difficult injuries, particularly in patients with osteoporosis. However, recent data has revealed that fixation with these constructs is not without complications, particularly screw cut-out and loss of reduction. Multiple strategies have been developed to decrease the number of complications. We offer a surgical technique combining suture augmentation of the proximal humerus with locked plate fixation utilizing short screws.
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KEYWORD
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Proximal humerus, Locking plate, Screw cut-out
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