Display options
Cite
Junior AC, Ribeiro FR, Filho RB, et al. EVALUATION OF SURGICAL TREATMENT OF FRACTURES IN TWO OR THREE PARTS OF THE PROXIMAL HUMERUS WITH THE "PARACHUTE TECHNIQUE". Rev Bras Ortop. 2015;45(3):241-6doi: 10.1016/S2255-4971(15)30364-5.
Junior, A. C., Ribeiro, F. R., Filho, R. B., Filho, C. S., da Costa, G. L., & Menniti, E. L. (2010). EVALUATION OF SURGICAL TREATMENT OF FRACTURES IN TWO OR THREE PARTS OF THE PROXIMAL HUMERUS WITH THE "PARACHUTE TECHNIQUE". Revista brasileira de ortopedia, 45(3), 241-6. https://doi.org/10.1016/S2255-4971(15)30364-5
Junior, Antonio Carlos Tenor, et al. "EVALUATION OF SURGICAL TREATMENT OF FRACTURES IN TWO OR THREE PARTS OF THE PROXIMAL HUMERUS WITH THE "PARACHUTE TECHNIQUE"." Revista brasileira de ortopedia vol. 45,3 (2010): 241-6. doi: https://doi.org/10.1016/S2255-4971(15)30364-5
Junior AC, Ribeiro FR, Filho RB, Filho CS, da Costa GL, Menniti EL. EVALUATION OF SURGICAL TREATMENT OF FRACTURES IN TWO OR THREE PARTS OF THE PROXIMAL HUMERUS WITH THE "PARACHUTE TECHNIQUE". Rev Bras Ortop. 2015 Nov 17;45(3):241-6. doi: 10.1016/S2255-4971(15)30364-5. eCollection 2010. PMID: 27022548; PMCID: PMC4799108.
Copy Download .nbib Format: NLM
Share it on

Rev Bras Ortop. 2015 Nov 17;45(3):241-6. doi: 10.1016/S2255-4971(15)30364-5. eCollection 2010.

EVALUATION OF SURGICAL TREATMENT OF FRACTURES IN TWO OR THREE PARTS OF THE PROXIMAL HUMERUS WITH THE "PARACHUTE TECHNIQUE".

Revista brasileira de ortopedia

Antonio Carlos Tenor Junior, Fabiano Rebouças Ribeiro, Rômulo Brasil Filho, Cantidio Salvador Filardi Filho, Guilherme Leme da Costa, Eduardo Libório Menniti

Affiliations

  1. Attending physician in the Shoulder Group, Orthopedics and Traumatology Service, HSPE-IAMSPE, Sao Paulo.
  2. Head of the Shoulder Group, Orthopedics and Traumatology Service, HSPE-IAMSPE, Sao Paulo.
  3. Trainee in the Shoulder Group, Orthopedics and Traumatology Service, HSPE-IAMSPE, Sao Paulo.
  4. Collaborating Physician in the Shoulder Group, Orthopedics and Traumatology Service, HSPE-IAMSPE, Sao Paulo.

PMID: 27022548 PMCID: PMC4799108 DOI: 10.1016/S2255-4971(15)30364-5

Abstract

OBJECTIVE: To evaluate the efficacy and safety of the surgical technique called the "parachute technique, as applied to adult patients who suffered displaced and unstable two or three-part fractures of the proximal humerus, through the clinical outcomes.

METHODS: Between January 1995 and June 2006, 59 adult patients with displaced and unstable two or three-part fractures underwent operations performed by the Shoulder and Elbow Group of the Orthopedics and Traumatology Service of Hospital do Servidor Público Estadual de São Paulo using the "parachute technique. This method consists of an intramedullary tension band and extramedullary fixation in a figure-of-eight to join the fragments of the fracture, using a 6.5-millimeter spongy screw with partial threading, a washer and two non-absorbable wires, thereby producing stable synthesis with minimal aggression to the surrounding soft tissue and not requiring any subsequent removal of material. The final shape of this synthesis is reminiscent of the shape of an open parachute. The patients had a minimum postoperative follow-up of six months. For the diagnosis, trauma series radiographic views of the shoulder were produced. The fractures were classified in accordance with the system proposed by Neer. We used the scale of the University of California, Los Angeles (UCLA), to evaluate the results.

RESULTS: The "parachute technique" produced good results in 47% and excellent results in 26% of the cases, according to the UCLA scores.

CONCLUSION: The "parachute technique" is a safe and effective treatment for displaced and unstable two or three-part fractures of the proximal humerus.

Keywords: Humeral fractures/surgery; Osteosynthesis; Shoulder

References

  1. J Bone Joint Surg Br. 1991 May;73(3):395-8 - PubMed
  2. Clin Orthop Relat Res. 2006 Jan;442:115-20 - PubMed
  3. Osteoporos Int. 2005 Mar;16 Suppl 2:S65-72 - PubMed
  4. Clin Orthop Relat Res. 2006 Jan;442:100-8 - PubMed
  5. Injury. 2005 Oct;36(10 ):1190-6 - PubMed

Publication Types