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Use of light activated intramedullary device for revision of a proximal humerus fracture: a case study.

Authors :
Williamson J
Sakthivelnathan V
Seligson D
Source :
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2024 Aug; Vol. 34 (6), pp. 3395-3400. Date of Electronic Publication: 2024 Jul 05.
Publication Year :
2024

Abstract

Background: Post-operative non-compliance is a risk factor for fracture fixation failure and presents a challenge for revision surgery planning. We present a patient who underwent revision surgery for a proximal humerus fracture with lateral locked plating augmented with a UV light activated intramedullary implant.<br />Case: A 45-year-old woman with a history of alcoholism presented with a proximal humerus fracture. After undergoing open reduction internal fixation with a lateral locking plate, the patient suffered a fall secondary to delirium tremens. New radiographs demonstrated displacement of the fracture with failure of screws. Revision surgery consisting of removal of the initial construct as well as open reduction internal fixation via lateral locking plate, augmented with a UV-activated intramedullary cement implant, was performed.<br />Conclusion: This is the first case report describing the use of a UV-activated intramedullary cement implant to augment the use of lateral locked plating for proximal humerus fractures. This case illustrates the successful management using UV-activated intramedullary cement to augment fixation, specifically in a patient with risk factors and post-operative non-compliance that predispose to fixation failure.<br /> (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)

Details

Language :
English
ISSN :
1432-1068
Volume :
34
Issue :
6
Database :
MEDLINE
Journal :
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
Publication Type :
Academic Journal
Accession number :
38967689
Full Text :
https://doi.org/10.1007/s00590-024-03980-0