Complications of Locked Plating for Proximal Humeral Fractures in Active Patients in a Level One Trauma Center
| dc.coverage | DOI: 10.1177/17585732221079588 | |
| dc.creator | Marsalli, Michael | |
| dc.creator | De La Paz, Joaquín | |
| dc.creator | Córdova, Carlos | |
| dc.creator | Fritis, Diego | |
| dc.creator | Errázuriz, Juan De Dios | |
| dc.date | 2023 | |
| dc.date.accessioned | 2025-11-18T19:45:44Z | |
| dc.date.available | 2025-11-18T19:45:44Z | |
| dc.description | <p>Background: The incidence of complications associated with locked plating of proximal humerus fractures (PHF) has been reported in up to 40% of surgeries. This study aimed to analyze the incidence and risk factors of complications and re-intervention associated with locked plating of PHF in a an young active working population. Methods: This retrospective cohort study included patients indicated for locked plating of displaced PHF at a dedicated workers’ accident trauma center. The variables analyzed were patient comorbidities, fracture characteristics, and immediate radiologic surgical outcomes. Postoperative complications and risk factors were determined. Results: A total of 127 patients with a median follow-up of 31 months and a median age of 52 years were included. The complication and reintervention rates were 13.4% and 12.6%, respectively. The main cause of reintervention was post-traumatic stiffness. The incidence of other complications was 4% screw protrusion, 1.6% avascular necrosis, 1.6% varus collapse. Complications were not associated with age, comorbidity, fracture classification, bone mineral density, Hertel's risk factors, presence of calcar comminution, reduction quality, and calcar screw position. Discussion: The incidence of complications and reintervention was low. The main cause of reintervention was persistent stiffness, and no risk factors for complications were found in this study.</p> | eng |
| dc.identifier | https://investigadores.uandes.cl/en/publications/c32e5f71-c280-47ce-8a37-a443718ca409 | |
| dc.identifier.uri | https://repositorio.uandes.cl/handle/uandes/54118 | |
| dc.language | eng | |
| dc.rights | info:eu-repo/semantics/openAccess | |
| dc.source | vol.15 (2023) nr.2 p.181-187 | |
| dc.subject | internal fixation | |
| dc.subject | locked plating | |
| dc.subject | open reduction | |
| dc.subject | proximal humerus fractures | |
| dc.title | Complications of Locked Plating for Proximal Humeral Fractures in Active Patients in a Level One Trauma Center | eng |
| dc.type | Article | eng |
| dc.type | Artículo | spa |