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Trauma Case Rep. 2021 Apr 21;33:100474. doi: 10.1016/j.tcr.2021.100474. eCollection 2021 Jun.

Supporting the medial hinge in proximal humerus fractures with an intramedullary plate.

Trauma case reports

Tjibbe J Gardenbroek, Sharon Oud, Henk A Formijne Jonkers, J Carel Goslings

Affiliations

  1. Department of Trauma Surgery, OLVG Hospital, Amsterdam, the Netherlands.

PMID: 33997224 PMCID: PMC8102799 DOI: 10.1016/j.tcr.2021.100474

Abstract

Proximal humerus fractures are common and approximately 20% of displaced fractures may benefit from surgery. A lack of medial support is found to be a predictor of failure after surgical fixation of proximal humerus fractures. The optimal technique for restoring the medial hinge is unclear. We describe two cases of patients with a dislocated 4-part humerus fracture treated with a locking plate and an additional small intramedullary plate to support the medial hinge. This technique is simple and allows for an enhanced stability of the medial hinge during and after surgery.

© 2021 The Authors.

Keywords: Intramedullary plate; Medial hinge plate; Proximal humerus fracture

Conflict of interest statement

The authors declare that there is no conflict of interest.

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