A prospective study of a new locking plate for proximal humeral fracture
Abstract Displaced and unstable extra-articular fractures of the proximal humerus are treated by operative reduction and fixation using various techniques such as fixed plates and intramedullary implants. This prospective study evaluates the clinical efficacy of a novel implant that is attached to t...
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Veröffentlicht in: | Injury 2009-02, Vol.40 (2), p.192-196 |
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creator | Bigorre, N Talha, A Cronier, P Hubert, L Toulemonde, J.L Massin, P |
description | Abstract Displaced and unstable extra-articular fractures of the proximal humerus are treated by operative reduction and fixation using various techniques such as fixed plates and intramedullary implants. This prospective study evaluates the clinical efficacy of a novel implant that is attached to the humeral head with fixed-angle locking screws. Between October 2002 and November 2005, 99 people (mean age 62.8 years) with proximal humeral fractures received treatment involving this plate in our department. The mean follow-up time was 17.8 months. Outcome was assessed with radiography, the Constant–Murley (C–M) shoulder evaluation and the Disabilities of the Arm, Shoulder and Hand (DASH) score. The mean C–M score was 64.95% and the mean DASH score was 30.1 points. Outcome was judged excellent in 51%, good in 19%, moderate in 19% and poor in 11% of cases. |
doi_str_mv | 10.1016/j.injury.2008.06.023 |
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This prospective study evaluates the clinical efficacy of a novel implant that is attached to the humeral head with fixed-angle locking screws. Between October 2002 and November 2005, 99 people (mean age 62.8 years) with proximal humeral fractures received treatment involving this plate in our department. The mean follow-up time was 17.8 months. Outcome was assessed with radiography, the Constant–Murley (C–M) shoulder evaluation and the Disabilities of the Arm, Shoulder and Hand (DASH) score. The mean C–M score was 64.95% and the mean DASH score was 30.1 points. Outcome was judged excellent in 51%, good in 19%, moderate in 19% and poor in 11% of cases.</description><identifier>ISSN: 0020-1383</identifier><identifier>EISSN: 1879-0267</identifier><identifier>DOI: 10.1016/j.injury.2008.06.023</identifier><identifier>PMID: 19070853</identifier><identifier>CODEN: INJUBF</identifier><language>eng</language><publisher>Kidlington: Elsevier Ltd</publisher><subject>Accidental Falls ; Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Bone Plates ; Diseases of the osteoarticular system ; Female ; Fracture Fixation - instrumentation ; Fracture Fixation - methods ; Humans ; Injuries of the limb. Injuries of the spine ; Internal fixation ; Locking plate ; Male ; Medical sciences ; Middle Aged ; Orthopedics ; Prospective Studies ; Proximal humeral fracture ; Shoulder Fractures - surgery ; Traumas. Diseases due to physical agents ; Treatment Outcome ; Young Adult</subject><ispartof>Injury, 2009-02, Vol.40 (2), p.192-196</ispartof><rights>Elsevier Ltd</rights><rights>2008 Elsevier Ltd</rights><rights>2009 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-8363d61e2f211ec3dc3f0eabfe8f1515ec3a921efc981bb9dd2878ca93a1c10e3</citedby><cites>FETCH-LOGICAL-c446t-8363d61e2f211ec3dc3f0eabfe8f1515ec3a921efc981bb9dd2878ca93a1c10e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0020138308002751$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=21332306$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19070853$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bigorre, N</creatorcontrib><creatorcontrib>Talha, A</creatorcontrib><creatorcontrib>Cronier, P</creatorcontrib><creatorcontrib>Hubert, L</creatorcontrib><creatorcontrib>Toulemonde, J.L</creatorcontrib><creatorcontrib>Massin, P</creatorcontrib><title>A prospective study of a new locking plate for proximal humeral fracture</title><title>Injury</title><addtitle>Injury</addtitle><description>Abstract Displaced and unstable extra-articular fractures of the proximal humerus are treated by operative reduction and fixation using various techniques such as fixed plates and intramedullary implants. This prospective study evaluates the clinical efficacy of a novel implant that is attached to the humeral head with fixed-angle locking screws. Between October 2002 and November 2005, 99 people (mean age 62.8 years) with proximal humeral fractures received treatment involving this plate in our department. The mean follow-up time was 17.8 months. Outcome was assessed with radiography, the Constant–Murley (C–M) shoulder evaluation and the Disabilities of the Arm, Shoulder and Hand (DASH) score. The mean C–M score was 64.95% and the mean DASH score was 30.1 points. Outcome was judged excellent in 51%, good in 19%, moderate in 19% and poor in 11% of cases.</description><subject>Accidental Falls</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Bone Plates</subject><subject>Diseases of the osteoarticular system</subject><subject>Female</subject><subject>Fracture Fixation - instrumentation</subject><subject>Fracture Fixation - methods</subject><subject>Humans</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Internal fixation</subject><subject>Locking plate</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Prospective Studies</subject><subject>Proximal humeral fracture</subject><subject>Shoulder Fractures - surgery</subject><subject>Traumas. Diseases due to physical agents</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0020-1383</issn><issn>1879-0267</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQQC0EokvhHyDkC-KUMGPvJs4FqaoKRarEoe3Z8jpjcJpNFjsp7L_vRLsCiQunsaw3X2-EeItQImD1sSvj0M3pUCoAU0JVgtLPxApN3RSgqvq5WAEoKFAbfSZe5dwBYA1avxRn2EANZqNX4vpC7tOY9-Sn-EgyT3N7kGOQTg70S_ajf4jDd7nv3UQyjGmBf8ed6-WPeUeJY0jOT3Oi1-JFcH2mN6d4Lu4_X91dXhc33758vby4Kfx6XU2F0ZVuKyQVFCJ53XodgNw2kAm4wQ1_uUYhBd8Y3G6btlWmNt412qFHIH0uPhzr8iQ_Z8qT3cXsqe_dQOOcba21xmaDmsn1kfS8YE4U7D7x6OlgEeyi0Hb2qNAuCi1UlhVy2rtTg3m7o_Zv0skZA-9PgMve9Sxg8DH_4RS3Vhoq5j4dOWIdj5GSzT7S4KmNiXXbdoz_m-TfAr6PQ-SeD3Sg3I1zGli1RZuVBXu7nHu5Nhh-1azgCXifpoo</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Bigorre, N</creator><creator>Talha, A</creator><creator>Cronier, P</creator><creator>Hubert, L</creator><creator>Toulemonde, J.L</creator><creator>Massin, P</creator><general>Elsevier Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>A prospective study of a new locking plate for proximal humeral fracture</title><author>Bigorre, N ; Talha, A ; Cronier, P ; Hubert, L ; Toulemonde, J.L ; Massin, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-8363d61e2f211ec3dc3f0eabfe8f1515ec3a921efc981bb9dd2878ca93a1c10e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Accidental Falls</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Bone Plates</topic><topic>Diseases of the osteoarticular system</topic><topic>Female</topic><topic>Fracture Fixation - instrumentation</topic><topic>Fracture Fixation - methods</topic><topic>Humans</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Internal fixation</topic><topic>Locking plate</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Prospective Studies</topic><topic>Proximal humeral fracture</topic><topic>Shoulder Fractures - surgery</topic><topic>Traumas. Diseases due to physical agents</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bigorre, N</creatorcontrib><creatorcontrib>Talha, A</creatorcontrib><creatorcontrib>Cronier, P</creatorcontrib><creatorcontrib>Hubert, L</creatorcontrib><creatorcontrib>Toulemonde, J.L</creatorcontrib><creatorcontrib>Massin, P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Injury</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bigorre, N</au><au>Talha, A</au><au>Cronier, P</au><au>Hubert, L</au><au>Toulemonde, J.L</au><au>Massin, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective study of a new locking plate for proximal humeral fracture</atitle><jtitle>Injury</jtitle><addtitle>Injury</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>40</volume><issue>2</issue><spage>192</spage><epage>196</epage><pages>192-196</pages><issn>0020-1383</issn><eissn>1879-0267</eissn><coden>INJUBF</coden><abstract>Abstract Displaced and unstable extra-articular fractures of the proximal humerus are treated by operative reduction and fixation using various techniques such as fixed plates and intramedullary implants. This prospective study evaluates the clinical efficacy of a novel implant that is attached to the humeral head with fixed-angle locking screws. Between October 2002 and November 2005, 99 people (mean age 62.8 years) with proximal humeral fractures received treatment involving this plate in our department. The mean follow-up time was 17.8 months. Outcome was assessed with radiography, the Constant–Murley (C–M) shoulder evaluation and the Disabilities of the Arm, Shoulder and Hand (DASH) score. The mean C–M score was 64.95% and the mean DASH score was 30.1 points. Outcome was judged excellent in 51%, good in 19%, moderate in 19% and poor in 11% of cases.</abstract><cop>Kidlington</cop><pub>Elsevier Ltd</pub><pmid>19070853</pmid><doi>10.1016/j.injury.2008.06.023</doi><tpages>5</tpages></addata></record> |
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subjects | Accidental Falls Adult Aged Aged, 80 and over Biological and medical sciences Bone Plates Diseases of the osteoarticular system Female Fracture Fixation - instrumentation Fracture Fixation - methods Humans Injuries of the limb. Injuries of the spine Internal fixation Locking plate Male Medical sciences Middle Aged Orthopedics Prospective Studies Proximal humeral fracture Shoulder Fractures - surgery Traumas. Diseases due to physical agents Treatment Outcome Young Adult |
title | A prospective study of a new locking plate for proximal humeral fracture |
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