Combining of small fragment screws and large fragment plates for open reduction and internal fixation of periprosthetic humeral fractures

Dominik Seybold; Mustafa Citak; Matthias Königshausen; Jan Gessmann; Thomas A Schildhauer

doi:10.4103/0973-6042.91004

Combining of small fragment screws and large fragment plates for open reduction and internal fixation of periprosthetic humeral fractures

Int J Shoulder Surg. 2011 Oct;5(4):105-7. doi: 10.4103/0973-6042.91004.

Authors

Dominik Seybold¹, Mustafa Citak, Matthias Königshausen, Jan Gessmann, Thomas A Schildhauer

Affiliation

¹ Department of General and Trauma Surgery, Berufsgenossenschaftliches-Universitätsklinikum Bergmannsheil, Ruhr-University Bochum, Germany.

Abstract

Operative treatment of periprosthetic humeral fractures in elderly patients with osteoporotic bone requires a stable fixations technique. The combination of 3.5 cortical screws with washers in a 4.5 Arbeitsgemeinschaft für Osteosynthesefragen, Limited-contact dynamic compression plate or Locking plate, allows a stable periprosthetic fixation with the small 3.5 screws and 4.5 screws above and below the prosthesis, respectively. This combination is a cost-effective technique to treat periprosthetic humeral fractures.

Keywords: Complications; new operative techniques; periprosthetic humerus fracture; shoulder arthroplasty.