title: [Osteosynthesis of displaced fractures of the greater tuberosity with the Bamberg plate].
abstract: OBJECTIVE
  Internal fixation of displaced fractures of the greater tuberosity allowing functional aftercare.
  
  
  METHODS
  Displaced fractures of the greater tuberosity >5 mm. Displaced fractures of the greater tuberosity >3 mm in athletes or overhead workers. Multiply fragmented fractures of the greater tuberosity.
  
  
  METHODS
  Displaced 3‑ or 4‑part fractures of the proximal humerus. Nondisplaced fractures of the greater tuberosity.
  
  
  METHODS
  Exposure of the fracture of the greater tuberosity by an anterolateral approach. Open reduction and temporary retention with a Kirschner wire or a "Kugelspieß" or reinforcement of the supraspinatus tendon and distal retention. Bending and positioning of the Bamberg plate and fixation by conventional or locking screws. Optional fixation of the rotator cuff to the plate. Exact monitoring of the implant position using the image intensifier to avoid inadequate distalization of the greater tuberosity.
  
  
  METHODS
  Arm sling (e. g. Gilchrist) for 2 weeks. Start passive assisted exercise on postoperative day 1. Movement allowed up to the pain threshold. Physiotherapeutic treatment to prevent adhesions and capsular shrinking.
  
  
  RESULTS
  In all, 10 patients with displaced fractures of the greater tuberosity underwent osteosynthesis using the Bamberg plate. After a follow-up of at least 6 months, a Constant-Murley score of 94.2  points (range 91-98 points) was achieved. The patients' average age was 45.6 years (range 29-68 years).
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie Sektion Sportorthopädie, Sporttraumatologie, Sportmedizin und Chirurgie der oberen Extremität, Sozialstiftung Bamberg, Klinikum am Bruderwald, Buger Straße 80, 96049, Bamberg, Deutschland. dominik.popp@sozialstiftung-bamberg.de.
authors.forename: D
authors.initials: D
authors.lastname: Popp
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie Sektion Sportorthopädie, Sporttraumatologie, Sportmedizin und Chirurgie der oberen Extremität, Sozialstiftung Bamberg, Klinikum am Bruderwald, Buger Straße 80, 96049, Bamberg, Deutschland.
authors.forename: V
authors.initials: V
authors.lastname: Schöffl
authors.affiliation: Klinik für Orthopädie und Unfallchirurgie Sektion Sportorthopädie, Sporttraumatologie, Sportmedizin und Chirurgie der oberen Extremität, Sozialstiftung Bamberg, Klinikum am Bruderwald, Buger Straße 80, 96049, Bamberg, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Strecker
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D018460:Fractures, Comminuted / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation* / Q000379:methods; D011474:Prosthesis Design; D012784:Shoulder Fractures / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
keywords: Bone plate; Fixed-angle implant; Humeral fracture; Minimally invasive surgical procedures; Prostheses and implants