Proximal humerus variable angle locking plate for the treatment of periprosthetic humeral fractures in a patient with previous tendon transfers: A case report

doi:10.1016/j.xrrt.2023.10.004

JSES Reviews, Reports, and Techniques

Available online 15 November 2023

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Abstract

Periprosthetic humerus fractures (PHF) are a relatively uncommon complication after reverse shoulder arthroplasty that can be devastating. If the stem is well fixed, open reduction and internal fixation is indicated for patients with displaced fractures or where conservative measures have failed. Cortical screws and cerclage cables have been described to achieve proximal fragment fixation in PHF. Cerclage cables provide weaker fixation than screws and require extensive soft tissue release to protect the radial nerve and other neurovascular structures. This article presents a periprosthetic humerus fracture fixed with a proximal humerus variable angle locking plate in a patient with previous tendon transfers. Additionally, the technical details of this technique are described and discussed.

Keywords

Periprosthetic humerus fracture

reverse shoulder arthroplasty

tendon transfers

locking plate

latissimus dorsi transfer

pectoralis major transfer

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: Disclaimers:

: Funding: No funding was disclosed by the authors

: Conflicts of interest: The authors, their immediate families, and any research foundation with which they are affiliated have not received any financial payments or other benefits from any commercial entity related to the subject of this article.

: The ethics committee of Pontificia Universidad Catolica de Chile approved this study, IRB number: 220928003

: Consent: Obtained.

: Level of EvidenceCase Report