1. Complications in proximal humeral fractures.
- Author
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Calori GM, Colombo M, Bucci MS, Fadigati P, Colombo AI, Mazzola S, Cefalo V, and Mazza E
- Subjects
- Adult, Aged, Bone Plates, Female, Fracture Healing, Fractures, Ununited diagnostic imaging, Fractures, Ununited pathology, Humans, Male, Middle Aged, Postoperative Complications diagnostic imaging, Postoperative Complications pathology, Reoperation, Retrospective Studies, Shoulder Fractures diagnostic imaging, Shoulder Fractures surgery, Young Adult, Fracture Fixation, Internal adverse effects, Fracture Fixation, Internal methods, Fractures, Ununited surgery, Humeral Head pathology, Postoperative Complications surgery, Radiography, Shoulder Fractures complications
- Abstract
Necrosis of the humeral head, infections and non-unions are among the most dangerous and difficult-to-treat complications of proximal humeral fractures. The aim of this work was to analyse in detail non-unions and post-traumatic bone defects and to suggest an algorithm of care. Treatment options are based not only on the radiological frame, but also according to a detailed analysis of the patient, who is classified using a risk factor analysis. This method enables the surgeon to choose the most suitable treatment for the patient, thereby facilitating return of function in the shortest possible time. The treatment of such serious complications requires the surgeon to be knowledgeable about the following possible solutions: increased mechanical stability; biological stimulation; and reconstructive techniques in two steps, with application of biotechnologies and prosthetic substitution., (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Published
- 2016
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