Journal of Musculoskeletal Trauma

Original Articles

T-Plate Fixation for Two- and Three-Part Fractures of the Proximal Humerus: Dong Ju Shin, Se Ang Chang, Young Soo Byun, Dae Hee Hwang, Sung Rak Lee, Sang Hee Kim; J Korean Fract Soc 2005;18(4):426-431. Published online October 31, 2005; DOI: https://doi.org/10.12671/jkfs.2005.18.4.426

PURPOSE
To evaluate the results and complications of treatment using T-plate fixation for two- and three-part fractures of the proximal humerus.
MATERIALS AND METHODS
Between January 1996 and July 2003, thirty-three patients with two-part and three-part fractures of the proximal humerus were treated by T-plate fixation. There were 21 two-part fractures and 12 three-part fractures including three shoulder dislocations. The reduction was qualified and complications were assessed with final radiographs. The functional outcome was evaluated by Neer's rating system.
RESULTS
Thirty-two cases (96.7%) were united, twenty-nine cases (87.9%) were reduced as good, and twenty-three cases (70%) had excellent or satisfactory results. There were four cases of loss of reduction, three cases of stiff joint, one case of nonunion, and one case of avascular necrosis of the humeral head, but no infection. No correlation was found between the final result and the type of fracture, age, gender, or quality of reduction.
CONCLUSION
T-plate fixation for proximal humeral fractures is a reliable method to obtain good results through satisfactory reduction, rigid fixation, and early movement. Additional tension band wiring can provide stable fixation for osteoporotic or comminuted fractures difficult to obtain stable fixation.

Citations

Citations to this article as recorded by

The Surgical Outcomes for Isolated Greater Tuberosity Fracture of Proximal Humerus
Eun-Sun Moon, Myung-Sun Kim, Young-Jin Kim
Journal of the Korean Fracture Society.2007; 20(3): 239. CrossRef

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T-plate Fixation of Distal Radius Fractures in the Elderly: Ik Su Choi, Woo Il Kim, Su In Roh, Hong Ju Ha, Jin Goo Kang, Seung Chan Ko; J Korean Soc Fract 1999;12(2):452-460. Published online April 30, 1999; DOI: https://doi.org/10.12671/jksf.1999.12.2.452

Abstract PDF: Recently, distal radius fractures are recognized as very complex injuries with a variable prognosis according to the fracture type and the treatment. Especially, there are several problems, including joint stiffness and skin necrosis due to a long term immobilization, radial shortening and collapse due to the loss of reduction in the elderly. Thus, the anatomical reduction and rigid internal fixation and early rehabilitation were recommanded. We analyzed 16 patients with distal radius fractures in the elderly, who were treated with open reduction and internal fixation with T-plate from January, 1991 to June, 1997 and were followed up for more than 12 months. The results were as follows ; 1. According to the Fernandez classification, 3 cases were type I, 3 cases were type II, 7 cases were type III, 1 case was type IV and 2 cases were type V. 2. As complications, there were 2 cases of arthritic change, 3 cases of radial shortening, and 1 case of screw loosening. 3. Anatomically satisfactory results were obtained in 75%(12 cases). 4. Functionally and clinically satisfactory results were obtained in 87%(14 cases). 5. In the treatment of distal radius fractures in the elderly, three dimensional structure and recovery of joint congruency were related to the clinical prognosis.

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