Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series.

Details

Serval ID
serval:BIB_BDA501CCF902
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Corrective Open-wedge Valgus Proximal Humerus Lengthening Osteotomy. Technique and Case Series.
Journal
Techniques in hand & upper extremity surgery
Author(s)
Goetti P., Aibinder W.R., Rollick N.R., Rouleau D.M., Faber K.J.
ISSN
1531-6572 (Electronic)
ISSN-L
1089-3393
Publication state
Published
Issued date
01/06/2024
Peer-reviewed
Oui
Volume
28
Number
2
Pages
74-79
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
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.
Keywords
Humans, Osteotomy/methods, Shoulder Fractures/surgery, Bone Plates, Male, Humerus/surgery, Female, Fractures, Malunited/surgery, Middle Aged, Adult, Range of Motion, Articular
Pubmed
Create date
15/12/2023 23:03
Last modification date
25/05/2024 7:13
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