Medial Calcar Support and Radiographic Outcomes of Plate Fixation for Proximal Humeral Fractures
Joint Authors
Huang, Kuo-Chin
Lin, Shih-Jie
Shen, Shih-Hsun
Lee, Mel S.
Yang, Tien-Yu
Tsai, Yao-Hung
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-01-27
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Plate fixation remains one of the most popular surgical procedures for treating proximal humeral fractures (PHFx); however, substantial rates of complications have been reported in the literature.
The objectives of the study were to examine how medial calcar support (MCS) affects the radiographic outcomes and to determine the prognostic factors predicting treatment failure.
We performed a retrospective cohort study of 89 adult patients who had PHFx and were treated with plate fixation at our institution in 2007–2011.
The enrolled patients were separated into two groups according to disruption of medial calcar.
Our results revealed an increased rate of poor radiographic outcomes in patients with disrupted medial calcar.
Osteonecrosis of the humeral head and redisplacement were the two radiographic outcomes which had a positive causality with disruption of medial calcar (P=0.008 and 0.050, resp.).
Deficient medial calcar, inadequate reduction, diabetes mellitus, chronic kidney disease, and chronic liver disease were all significant predictors for the development of osteonecrosis in patients after PHFx surgery.
Inadequate reduction was also a predictor for redisplacement.
We confirmed that the restoration of medial calcar as well as comorbid conditions plays key roles in treatment of patients having PHFx with disrupted medial calcar.
American Psychological Association (APA)
Lin, Shih-Jie& Tsai, Yao-Hung& Yang, Tien-Yu& Shen, Shih-Hsun& Huang, Kuo-Chin& Lee, Mel S.. 2015. Medial Calcar Support and Radiographic Outcomes of Plate Fixation for Proximal Humeral Fractures. BioMed Research International،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1054476
Modern Language Association (MLA)
Lin, Shih-Jie…[et al.]. Medial Calcar Support and Radiographic Outcomes of Plate Fixation for Proximal Humeral Fractures. BioMed Research International No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1054476
American Medical Association (AMA)
Lin, Shih-Jie& Tsai, Yao-Hung& Yang, Tien-Yu& Shen, Shih-Hsun& Huang, Kuo-Chin& Lee, Mel S.. Medial Calcar Support and Radiographic Outcomes of Plate Fixation for Proximal Humeral Fractures. BioMed Research International. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1054476
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1054476