Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate

Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are no...

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Main Authors: Kai-Lan Hsu, Ta-Wei Tai, Wei-Ren Su, Chii-Jeng Lin, Pei-Yuan Lee
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Tzu Chi Medical Journal
Subjects:
Online Access:http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=37;epage=40;aulast=Hsu
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author Kai-Lan Hsu
Ta-Wei Tai
Wei-Ren Su
Chii-Jeng Lin
Pei-Yuan Lee
author_facet Kai-Lan Hsu
Ta-Wei Tai
Wei-Ren Su
Chii-Jeng Lin
Pei-Yuan Lee
author_sort Kai-Lan Hsu
collection DOAJ
description Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fixation with a nonlocking cloverleaf plate augmented with tension wiring to provide adequate stability and prevent loss of reduction.
format Article
id doaj-art-18ca3d3768a1483b9c4d4c968e6664f8
institution Kabale University
issn 1016-3190
2223-8956
language English
publishDate 2017-01-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Tzu Chi Medical Journal
spelling doaj-art-18ca3d3768a1483b9c4d4c968e6664f82025-08-20T03:49:04ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562017-01-01291374010.4103/tcmj.tcmj_6_17Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plateKai-Lan HsuTa-Wei TaiWei-Ren SuChii-Jeng LinPei-Yuan LeeFixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fixation with a nonlocking cloverleaf plate augmented with tension wiring to provide adequate stability and prevent loss of reduction.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=37;epage=40;aulast=HsuCloverleaf plateProximal humerusTension wire
spellingShingle Kai-Lan Hsu
Ta-Wei Tai
Wei-Ren Su
Chii-Jeng Lin
Pei-Yuan Lee
Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
Tzu Chi Medical Journal
Cloverleaf plate
Proximal humerus
Tension wire
title Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
title_full Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
title_fullStr Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
title_full_unstemmed Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
title_short Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate
title_sort tension wiring to increase stability of conventional plating for proximal humeral fractures an alternative to a locking plate
topic Cloverleaf plate
Proximal humerus
Tension wire
url http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2017;volume=29;issue=1;spage=37;epage=40;aulast=Hsu
work_keys_str_mv AT kailanhsu tensionwiringtoincreasestabilityofconventionalplatingforproximalhumeralfracturesanalternativetoalockingplate
AT taweitai tensionwiringtoincreasestabilityofconventionalplatingforproximalhumeralfracturesanalternativetoalockingplate
AT weirensu tensionwiringtoincreasestabilityofconventionalplatingforproximalhumeralfracturesanalternativetoalockingplate
AT chiijenglin tensionwiringtoincreasestabilityofconventionalplatingforproximalhumeralfracturesanalternativetoalockingplate
AT peiyuanlee tensionwiringtoincreasestabilityofconventionalplatingforproximalhumeralfracturesanalternativetoalockingplate