Patients With Closed Neer Type 4 Proximal Humerus Fractures
Conditions
Keywords
proximal humerus, closed, fracture, bone pedicled graft
Brief summary
The investigators tried to evaluate the results of our patients who underwent plate osteosynthesis with vascularized pectoralis major graft for the treatment of 4-part proximal humerus fractures.
Detailed description
The risk of avascular necrosis, nonunion, or malunion is high in 4-part fractures which is the most serious form of proximal humerus fracture.Bone impaction grafts are an important treatment option when osteosynthesis with LCP plate is desired especially for osteoporotic patients. Fibular strut grafts (FSGs) and autologous iliac bone impaction grafts (AIBIGs), which are frequently used to provide mechanical support, may have the risk of nonunion in osteoporotic bone whose vascular support is weakened due to fracture. Bone pedicled pectoralis major grafts may prevent varus collapse, nonunion and avascular necrosis.
Interventions
PROCEDUREPectoralis Major Pedicle Bone Graft
It is aimed to restore the integrity of the medial cortex with the bone pedicle from the insertion region of the pectoralis major muscle in middle-aged patients with Neer type 4 proximal humerus fractures. Researchers aim to reduce the risk of avascular necrosis with a vascular living bone tissue, as well as providing mechanical support with this method. The investigators aim to reduce the risk of avascular necrosis with a vascular living bone tissue, as well as providing mechanical support with this method.
Sponsors
Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
50 Years to 75 Years
Healthy volunteers
No
Inclusion criteria
* patients aged 50-75 years with closed Neer type 4 proximal humerus fractures
Exclusion criteria
* Patients under 50 and over 75 years of age, * Patients with pathological fractures, * Patients with neurological deficits such as brachial plexus injury * Patients with previous shoulder surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients were evaluated in terms of functional shoulder results and radiographic union | 2 years | Constant and American shoulder and elbow surgeons scores were used for functional assesment |
Countries
Turkey (Türkiye)
Outcome results
None listed