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Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series.
Goetti, Patrick; Aibinder, William R; Rollick, Natalie R; Rouleau, Dominique M; Faber, Kenneth J.
Afiliación
  • Goetti P; Department of Orthopedics and Traumatology, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
  • Aibinder WR; Department of Surgery, CIUSSS North of the Island, Montreal Sacré-Coeur Hospital. Boul. Gouin West, Montreal, Quebec.
  • Rollick NR; Department of Orthopedic Surgery and Rehabilitation Medicine, SUNY Downstate Health Sciences University, Brooklyn, NY.
  • Rouleau DM; Department of Surgery, Roth McFarlane Hand and Upper Limb Center, Western University, London, ON, Canada.
  • Faber KJ; Department of Surgery, CIUSSS North of the Island, Montreal Sacré-Coeur Hospital. Boul. Gouin West, Montreal, Quebec.
Tech Hand Up Extrem Surg ; 28(2): 74-79, 2024 Jun 01.
Article en En | MEDLINE | ID: mdl-38098299
ABSTRACT
Symptomatic varus malunion after proximal humeral fractures is associated with weakness and painful limitation of shoulder range of motion. When there is conformity of the articular surface and no avascular necrosis, a head-preserving procedure is best indicated. Arthroscopic arthrolysis, subacromial decompression, and tuberoplasty have been described for the treatment of mild deformity. In cases with more severe deformity, corrective extracapsular lateral closing wedge valgus osteotomy has been reported as a reliable treatment option, in terms of both pain relief and improved function. While this procedure adequately restores rotator cuff tensioning, it is associated with a shortening of the lever arm to the deltoid muscle, secondary to a loss of humeral length. We describe our technique and results with a vascular-sparing, medial open-wedge osteotomy, using a structural allograft and lateral locking plate. In our opinion, this procedure is safe and effective, with the potential to improve functional outcomes in young and active patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Tech Hand Up Extrem Surg Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Osteotomía Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Tech Hand Up Extrem Surg Año: 2024 Tipo del documento: Article País de afiliación: Suiza Pais de publicación: Estados Unidos