Plate fixation combined with suture bridge technique for proximal humeral fracture-dislocation with displaced greater tuberosity: a case series
Abstract
Introduction: Plate fixation is an established procedure for proximal humeral fractures involving the greater tuberosity; however, concomitant glenohumeral dislocation increases the risk of secondary displacement of the greater tuberosity fragments. The suture bridge technique has produced satisfactory outcomes for greater tuberosity fractures; however, little is known about the outcomes of combining plate fixation with the suture bridge technique. We report the surgical technique and outcomes of plate fixation combined with the suture bridge technique for proximal humeral fracture-dislocations with displaced greater tuberosity. Highlights We report a plate fixation combined with suture bridge technique for proximal humeral fracture-dislocations. Additional suture bridge fixation enhances the stablility of greater tuberosity fragment. The technique can be applicable to cases with a high risk of postoperative greater tuberosity displacement. Presentation of case: We retrospectively identified six patients who underwent plate fixation combined with a suture bridge technique. Using the deltopectoral approach, we reduced the fractured fragments. We inserted medial anchors into the proximal margin of the humeral fracture surface and distal anchors into the shaft, and fixed the greater tuberosity fragments using the suture bridge technique. The fractured fragments were fixed using a locking plate. We evaluated postoperative shoulder functional scores and complications. The mean…
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Evidence Hub reads this as a case series, done in people. Its evidence level is 5 of 5 (Very low · case / narrative / animal / in vitro / in silico). Case reports, narrative reviews, and animal, cell or computer-model studies give the weakest evidence for human health.
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