Outcomes of proximal humeral fracture fixation with locked CFR-PEEK plating.
In: European Journal of Orthopaedic Surgery & Traumatology, Jg. 27 (2017-04-01), Heft 3, S. 351-358
Online
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Zugriff:
Purpose: To investigate the outcomes of proximal humeral fracture (PHF) fixation with a novel carbon-fiber-reinforced (CFR)-PEEK plate and to compare results with outcomes after conventional locked titanium plating. Methods: Twenty-one patients (7 male, 14 female) with operative treatment of unilateral displaced PHFs (mean age, 66.8 ± 9.9 years) with a novel CRF-PEEK plate were prospectively enrolled. Patients were followed up clinically (Constant Score, Simple Shoulder Test and Simple Shoulder Value) and radiologically 3 months postoperative and again clinically 12 months postoperative. Implant-related complications were evaluated after 3 and 12 months. Results at 1-year follow-up were compared with results of 21 patients (7 male, 14 female; mean age, 67.4 ± 9.7 years) with conventional titanium locked plating by matched case-control analysis. Results: All functional outcomes improved after CFR-PEEK plating ( p < 0.05). Twelve months postoperatively, the mean age- and gender-related Constant Score was 99.8 ± 21.2%. All fractures healed by the 3-month follow-up without evidence of secondary screw perforation, fragment displacement or loss of fixation. There were no significant differences between the functional outcomes of patients with the CF-PEEK plate and patients with locked titanium plating ( p > 0.05). Patients with locked titanium plating were significantly more likely to require revision surgery related to articular screw perforations ( p = 0.048). Conclusions: Fracture fixation of displaced PHFs with a novel CFR-PEEK plate resulted in good to excellent 1-year functional outcomes which were similar to outcomes of conventional locked titanium plating. The stiffer locked titanium plating was associated with a higher risk of articular screw perforations than the more elastic CFR-PEEK plate. [ABSTRACT FROM AUTHOR]
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Outcomes of proximal humeral fracture fixation with locked CFR-PEEK plating.
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Autor/in / Beteiligte Person: | Katthagen, Jan ; Ellwein, Alexander ; Lutz, Olga ; Voigt, Christine ; Lill, Helmut |
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Zeitschrift: | European Journal of Orthopaedic Surgery & Traumatology, Jg. 27 (2017-04-01), Heft 3, S. 351-358 |
Veröffentlichung: | 2017 |
Medientyp: | academicJournal |
ISSN: | 1633-8065 (print) |
DOI: | 10.1007/s00590-016-1891-7 |
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