Intramedullary Cage Fixation for Proximal Humerus Fractures Has Low Reoperation Rates at One Year: Results of a Multi-Center Study. Journal of orthopaedic trauma Goodnough, L. H., Campbell, S. T., Githens, T. C., DeBaun, M. R., Bishop, J. A., Gardner, M. J. 2019


OBJECTIVES: To determine reoperation rates following treatment of a proximal humerus fracture with Cage fixation.DESIGN: Retrospective case series SETTING:: Eleven U.S. hospitals PATIENTS:: Fifty- two patients undergoing surgical treatment of proximal humerus fractures INTERVENTION:: Open reduction and internal fixation of a proximal humerus fracture with a proximal humerus Cage MAIN OUTCOME MEASUREMENTS:: Re-operation rate at one year RESULTS:: At a minimum follow-up of one year, reoperations occurred in 4/52 patients (7.7%). Avascular necrosis (2/41) occurred in 4.9% of patients.CONCLUSION: Standard locked plating remains an imperfect solution for proximal humerus fractures. Proximal humerus Cage fixation had low rates of revision surgery at one year. Proximal humerus Cage fixation may offer reduced rates of complication and reoperation when compared to conventional locked plating for the management of proximal humerus fractures.LEVEL OF EVIDENCE: IV-Therapeutic.

View details for DOI 10.1097/BOT.0000000000001712

View details for PubMedID 31809419