Skip to main content
SpringerLink
Log in

Arthroscopic locking plate removal after proximal humeral fractures

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

The incidence of proximal humeral fractures increases. The locking plate osteosynthesis is a standard procedure to treat displaced proximal humeral fractures. In the mostly affected elderly patients with an osteoporotic bone structure, complication rate is still high. An implant removal is commonly required. But also younger patients often request for hardware removal. The open implant removal with a subacromial and subdeltoideal arthrolysis is an extensive secondary surgery for the patients. We present a new technique to remove a locking plate from the proximal humerus arthroscopically with all advantages of the minimally invasive surgery, and the possibility to treat concomitant intraarticular pathologies parallelly.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8

Similar content being viewed by others

References

  1. Agudelo J, Schürmann M, Stahel P, Helwig P, Morgan SJ, Zechel W et al (2007) Analysis of efficacy and failure in proximal humerus fractures treated with locking plates. J Orthop Trauma 21(10):676–681. doi:10.1097/BOT.0b013e31815bb09d

    Article  PubMed  Google Scholar 

  2. Fankhauser F, Boldin C, Schippinger G, Haunschmid C, Szyszkowitz R (2005) A locking plate for unstable fractures of the proximal humerus. Clin Orthop Relat Res 430:176–181. doi:10.1097/01.blo.0000137554.91189.a9

    Article  PubMed  Google Scholar 

  3. Gallo RA, Sciulli R, Daffner RH, Altman DT, Altman GT (2007) Defining the relationship between rotator cuff injury and proximal humerus fractures. Clin Orthop Relat Res 458:70–77

    PubMed  Google Scholar 

  4. Kannus P, Palvanen M, Niemi S, Parkkari J, Järvinen M, Vuori I (2000) Osteoporotic fractures of the proximal humerus in elderly Finnish persons: sharp increase in 1970–1998 and alarming projections for the new millennium. Acta Orthop Scand 71(5):465–470. doi:10.1080/000164700317381144

    Article  CAS  PubMed  Google Scholar 

  5. Kettler M, Biberthaler P, Braunstein V, Zeiler C, Kroetz M, Mutschler W (2006) Treatment of proximal humeral fractures with the PHILOS angular stable plate. Presentation of 225 cases of dislocated fractures. Unfallchirurg 109(12):1032–1040. doi:10.1007/s00113-006-1165-7

    Google Scholar 

  6. Kirchhoff C, Braunstein V, Kirchhoff S, Sprecher CM, Ockert B, Fischer F et al (2008) Outcome analysis following removal of locking plate fixation of the proximal humerus. BMC Musculoskelet Disord 9:138. doi:10.1186/1471-2474-9-138

    Article  PubMed  Google Scholar 

  7. Nho SJ, Brophy RH, Barker JU, Cornell CN, MacGillivray JD (2007) Management of proximal humeral fractures based on current literature. J Bone Joint Surg Am 89(Suppl 3):44–58. doi:10.2106/JBJS.G.00648

    Article  PubMed  Google Scholar 

  8. Owsley KC, Gorczyca JT (2008) Fracture displacement and screw cutout after open reduction and locked plate fixation of proximal humeral fractures. J Bone Joint Surg Am 90(2):233–240. doi:10.2106/JBJS.F.01351

    Article  PubMed  Google Scholar 

  9. Röderer G, Abouelsoud M, Gebhard F, Böckers TM, Kinzl L (2007) Minimally invasive application of the non-contact-bridging (NCB) plate to the proximal humerus: an anatomical study. J Orthop Trauma 21(9):621–627. doi:10.1097/BOT.0b013e318157f0cd

    Article  PubMed  Google Scholar 

  10. Südkamp N, Bayer J, Hepp P, Voigt C, Oestern H, Kaab M, Luo C, Plecko M, Wendt K, Kostler W, Konrad G (2009) Open reduction and internal fixation of proximal humeral fractures using the locking proximal humerus plate—results of a prospective multicenter observational study. J Bone Joint Surg Am (accepted)

  11. Taverna E, Sansone V, Battistella F (2004) Arthroscopic treatment for greater tuberosity fractures: rationale and surgical technique. Arthroscopy 20(6):e53–e57. doi:10.1016/j.arthro.2004.04.072

    Article  PubMed  Google Scholar 

  12. Voigt C, Woltmann A, Partenheimer A, Lill H (2007). Management of complications after angularly stable locking proximal humerus plate fixation. Chirurg 78(1):40–46. doi:10.1007/s00104-006-1241-0

    Google Scholar 

Download references

Conflict of interest statement

There is no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Trauma and Reconstructive Surgery, Diakoniekrankenhaus Friederikenstift gGmbH, Humboldtstraße 5, 30169, Hannover, Germany

    Christine Voigt, Andreas Geisler & Helmut Lill

Authors
  1. Christine Voigt
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Andreas Geisler
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Helmut Lill
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Christine Voigt.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Voigt, C., Geisler, A. & Lill, H. Arthroscopic locking plate removal after proximal humeral fractures. Arch Orthop Trauma Surg 130, 391–395 (2010). https://doi.org/10.1007/s00402-009-0882-0

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-009-0882-0

Keywords

Search

Navigation