title: Fixation strategies to prevent screw cut-out and malreduction in proximal humeral fracture fixation.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA 13104, USA.
authors.forename: Surena
authors.initials: S
authors.lastname: Namdari
authors.forename: Adam J
authors.initials: AJ
authors.lastname: Lipman
authors.forename: Eric T
authors.initials: ET
authors.lastname: Ricchetti
authors.forename: Fotios P
authors.initials: FP
authors.lastname: Tjoumakaris
authors.forename: G Russell
authors.initials: GR
authors.lastname: Huffman
authors.forename: Samir
authors.initials: S
authors.lastname: Mehta
mesh_terms: D001860:Bone Plates; D001863:Bone Screws; D005592:Fracture Fixation / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D012784:Shoulder Fractures / Q000534:rehabilitation / Q000601:surgery*