کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4094404 1268460 2007 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Percutaneous Pinning for Surgical Neck Fracture: Method of Choice—Opposes
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Percutaneous Pinning for Surgical Neck Fracture: Method of Choice—Opposes
چکیده انگلیسی

This is a broad statement and there is no doubt that in selected proximal humerus fractures percutaneous pinning is superior to plate fixation. However, unstable two- and three-part fractures in young patients may require plate fixation for reliable union. Comminuted higher energy injuries do well with dual-plate fixation. Older patients with four-part fractures are still best treated with hemiarthroplasty with tuberosity osteosynthesis. Percutaneous pinning, while being minimally invasive, is not without complications. Complications, including pin tract infections and subsequent septic arthritis from migration of septic pins, have been reported. In addition, pin migration has been associated with potentially life-threatening complications due to the close proximity to neurovascular structures and the thoracic cavity. Loss of position of fracture fragments in the first several weeks of treatment is not uncommon with pin fixation. Open reduction and internal fixation (ORIF) may be necessary to obtain anatomic reduction and secure fracture fixation. Recent changes in the approach to plate fixation with lateral based incisions and variable angle locking screw fixation have improved ORIF outcomes.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Seminars in Arthroplasty - Volume 18, Issue 1, March 2007, Pages 23–27
نویسندگان
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