Clinics in Shoulder and Elbow

Korean Shoulder and Elbow Society (대한견·주관절의학회)
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PHILOS plate fixation with polymethyl methacrylate cement augmentation of an osteoporotic proximal humerus fracture

  • Kim, Do-Young (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Kim, Tae-Yeong (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine) ;
  • Hwang, Jung-Taek (Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University College of Medicine)
  • Received : 2020.07.31
  • Accepted : 2020.08.13
  • Published : 2020.09.01
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Abstract

PHILOS plate fixation in osteoporotic proximal humerus fracture of old age is well-known for high complication rate, especially metal failure, providing various augmentation techniques, such as calcium phosphate cement, allogenous or autologous bone graft. We report a case of polymethyl methacrylate augmentation to provide appropriate reduction with a significant mechanical support. This can be a treatment option for displaced unstable osteoporotic proximal humerus fracture with marked bony defect.

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References

  1. Court-Brown CM, Garg A, McQueen MM. The epidemiology of proximal humeral fractures. Acta Orthop Scand 2001;72:365-71. https://doi.org/10.1080/000164701753542023
  2. Bell JE, Leung BC, Spratt KF, et al. Trends and variation in incidence, surgical treatment, and repeat surgery of proximal humeral fractures in the elderly. J Bone Joint Surg Am 2011;93:121-31. https://doi.org/10.2106/JBJS.I.01505
  3. Launonen AP, Lepola V, Saranko A, Flinkkila T, Laitinen M, Mattila VM. Epidemiology of proximal humerus fractures. Arch Osteoporos 2015;10:209. https://doi.org/10.1007/s11657-015-0209-4
  4. Lee SH, Dargent-Molina P, Breart G; EPIDOS Group. Epidemiologie de l'Osteoporose Study. Risk factors for fractures of the proximal humerus: results from the EPIDOS prospective study. J Bone Miner Res 2002;17:817-25. https://doi.org/10.1359/jbmr.2002.17.5.817
  5. Barlow JD, Logli AL, Steinmann SP, et al. Locking plate fixation of proximal humerus fractures in patients older than 60 years continues to be associated with a high complication rate. J Shoulder Elbow Surg 2020;29:1689-94. https://doi.org/10.1016/j.jse.2019.11.026
  6. Egol KA, Sugi MT, Ong CC, Montero N, Davidovitch R, Zuckerman JD. Fracture site augmentation with calcium phosphate cement reduces screw penetration after open reduction-internal fixation of proximal humeral fractures. J Shoulder Elbow Surg 2012;21:741-8. https://doi.org/10.1016/j.jse.2011.09.017
  7. Bajammal SS, Zlowodzki M, Lelwica A, et al. The use of calcium phosphate bone cement in fracture treatment: a meta-analysis of randomized trials. J Bone Joint Surg Am 2008;90:1186-96. https://doi.org/10.2106/JBJS.G.00241
  8. Mathison C, Chaudhary R, Beaupre L, Reynolds M, Adeeb S, Bouliane M. Biomechanical analysis of proximal humeral fixation using locking plate fixation with an intramedullary fibular allograft. Clin Biomech (Bristol, Avon) 2010;25:642-6. https://doi.org/10.1016/j.clinbiomech.2010.04.006
  9. Kammerlander C, Hem ES, Klopfer T, et al. Cement augmentation of the proximal femoral nail antirotation (PFNA): a multicentre randomized controlled trial. Injury 2018;49:1436-44. https://doi.org/10.1016/j.injury.2018.04.022