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Mini-Incision Fixation of Proximal Humeral Four-Part Fractures

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Minimally Invasive Surgery in Orthopedics

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Abstract

Proximal humerus fractures are difficult to treat. Intraoperative fluoroscopic guidance is required to ensure appropriate anatomic reduction. Restoration of the anatomic relationship between the articular surface and the surrounding rotator cuff has a critical influence on the final result. Furthermore, fixation is a challenge to maintain as the rotator cuff exerts strong deforming forces on the tuberosities, which are often of poor bone quality and do not hold hardware well. In spite of this, many unstable proximal humerus fractures may be treated successfully with percutaneous fixation. Here we describe the indications, technique, and results of treatment with a minimally invasive approach for percutaneous fixation of proximal humerus fractures.

Adapted from Hsu J, Galatz LM, Mini-incision Fixation of Proximal Humeral Four-Part Fractures in Scuderi G, Tria A, Berger R (eds), MIS Techniques in Orthopedics, New York, Springer, 2006, with kind permission of Springer Science and Business Media, Inc.

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Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Temple University School of Medicine, Philadelphia, PA, USA

    Leslie A. Fink Barnes

  2. Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, USA

    Jim C. Hsu

  3. Department of Orthopaedic Surgery, Mount Sinai School of Medicine, New York, NY, USA

    Leesa M. Galatz

Authors
  1. Leslie A. Fink Barnes
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  2. Jim C. Hsu
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  3. Leesa M. Galatz
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Corresponding author

Correspondence to Leslie A. Fink Barnes .

Editor information

Editors and Affiliations

  1. Orthopedic Service Line, Northwell Health , New York, New York, USA

    Giles R. Scuderi

  2. Department of Orthopedic Surgery, Rutgers-Robert Wood JohnsonMedicalSchool Department of Orthopedic Surgery, New Brunswick, New Jersey, USA

    Alfred J. Tria

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© 2016 Springer International Publishing Switzerland

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Barnes, L.A.F., Hsu, J.C., Galatz, L.M. (2016). Mini-Incision Fixation of Proximal Humeral Four-Part Fractures. In: Scuderi, G., Tria, A. (eds) Minimally Invasive Surgery in Orthopedics. Springer, Cham. https://doi.org/10.1007/978-3-319-34109-5_17

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  • DOI: https://doi.org/10.1007/978-3-319-34109-5_17

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-34107-1

  • Online ISBN: 978-3-319-34109-5

  • eBook Packages: MedicineReference Module Medicine

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