The Impact of Preoperative Coronal Plane Deformity on Proximal Humerus Fixation With Endosteal Augmentation

• DOI: 10.1097/bot.0000000000000012
• Publication Date: 2013-09-27T22:50:13Z
• Authors: Milton T.M. Little; Marschall B. Berkes; Patrick C. Schottel; Lionel E. Lazaro; Lauren E. LaMont; Nadine C. Pardee; Joseph T. Nguyen; David L. Helfet; Dean G. Lorich
• Keywords: Adult; Aged, 80 and over; Male; Bone Transplantation; Bone Malalignment; Middle Aged; 3. Good health; Radiography; Fracture Fixation, Internal; 03 medical and health sciences; Treatment Outcome; 0302 clinical medicine; Fibula; Shoulder Fractures; Humans; Female; Bone Plates; Aged; Retrospective Studies

To examine the impact of preoperative coronal plane deformity on functional and radiographic outcomes endosteal strut augmentation proximal humerus fracture fixation.Single surgeon, retrospective analysis a prospective database. Case series.Academic level 1 trauma center.Seventy-two patients with isolated fractures fulfilled all inclusion/exclusion criteria minimum follow-up 12 months.Proximal open reduction internal fixation laterally placed humeral locking plate placement an allograft fibula treated through anterolateral approach.Global outcome as determined by Disabilities Arm, Shoulder Hand (DASH) score Short Form 36 physical function. Shoulder-specific Constant-Murley University California Los Angeles shoulder scores.The mean age was 62 years old (range, 26-90 years). There were 32 varus (neck-shaft angle, 110.8 degrees) 40 valgus 168.9 degrees). no significant difference in initial postoperative (varus: 132.5 degrees, valgus: 135.5 final 129.9 132.2 neck-shaft angles or change height 0.94 mm, 1.48 mm). differences [Constant 85.2, 88.7) DASH 21.4, 13.9), (28.6, 30.4), 66.8, 59.1)]. 2 group 3 asymptomatic head screw penetration (mean Constant 84.5, 9.5). deep infection necessitating implant removal after union. case avascular necrosis (DASH 19.4, 73).There complication rates, radiographic, clinical between presenting displacement compared those displacement. The equivalent may be attributed to uniform operative technique fibular used primary surgeon.Therapeutic Level IV. See Instructions for Authors complete description levels evidence.