title: Tension suture fixation using 2 washers for proximal humeral fractures.
abstract: The surgical treatment for proximal humeral fractures is challenging, especially in patients with osteoporosis. Locking plates and intramedullary nails have been widely used with satisfactory results, but previously reported complications have not been substantially reduced. Several authors have emphasized the importance of maintaining soft tissues around the proximal humerus with respect to limiting displacement and maintaining stability. To prevent postoperative complications, such as fixation failure and malunion, several supplementary suture techniques using nonabsorabable sutures that allow for the incorporation of the rotator cuff as a fixation point have been described.
authors.affiliation: Department of Orthopedic Surgery, Dongsan Medical Center, School of Medicine, Keimyung University, 194 Dongsan-dong, Joong-gu, Daegu, Korea. oscho5362@dsmc.or.kr
authors.forename: Chul-Hyun
authors.initials: CH
authors.lastname: Cho
authors.forename: Gu-Hee
authors.initials: GH
authors.lastname: Jung
authors.forename: Kwang-Soon
authors.initials: KS
authors.lastname: Song
mesh_terms: D000328:Adult; D000368:Aged; D004867:Equipment Design; D019544:Equipment Failure Analysis; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D012784:Shoulder Fractures / Q000601:surgery*; D013536:Suture Techniques / Q000295:instrumentation*; D016896:Treatment Outcome