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Use of light activated intramedullary device for revision of a proximal humerus fracture: a case study.
- 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.)
- Subjects :
- Humans
Female
Middle Aged
Bone Plates adverse effects
Ultraviolet Rays adverse effects
Bone Cements adverse effects
Open Fracture Reduction adverse effects
Open Fracture Reduction methods
Accidental Falls
Alcoholism complications
Shoulder Fractures surgery
Reoperation
Fracture Fixation, Intramedullary adverse effects
Fracture Fixation, Intramedullary instrumentation
Fracture Fixation, Intramedullary methods
Subjects
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