naa a22 4500 510818315 CHVBK 20180411083518.0 cr unu---uuuuu 180411e20130601xx s 000 0 eng 10.1007/s12306-013-0266-z doi (NATIONALLICENCE)springer-10.1007/s12306-013-0266-z Treatment for proximal humeral fractures with percutaneous plating: our first results [Elektronische Daten] [D. Imarisio, A. Trecci, L. Sabatini, R. Scagnelli] Introduction: Proximal humeral fractures are common lesions; there is no generally accepted strategy about the treatment for displaced and unstable two- to four-part fractures. We have nowadays many different surgical solutions, ranging from percutaneous pinning to shoulder arthroplasty. Percutaneous plating can be a good solution to treat some of these fractures using a minimally invasive technique and performing stable fixation that can allow early mobilization. Purpose of this paper is to evaluate the results of our first cases of percutaneous plating in proximal humeral fractures in order to assess the theoretical advantages and the incidence of possible complications. Materials and methods: From June 2009 to February 2012, we treated 29 proximal humeral fractures with a percutaneous plating (NCB-PH plate) through an anterolateral deltoid split. For each patient, we evaluated the clinical outcome according to Constant score and the radiographic results, paying attention to fracture healing, loss of reduction, hardware complications, and head necrosis. Results: The clinical evaluation gave a mean Constant score value of 79 points. Comparing each value to the unaffected shoulder, we could find these results: 7 excellent, 10 good, 8 fair, and 4 poor. No axillary nerve lesions were clinically detected. The radiographic evaluation showed a complete bone healing in all cases within the first 3months. No head necrosis was detected, as well as screws loosening. In two cases, the X-ray at 2months revealed a little loss of reduction in varus. Two patients had an anterior pain; in one of these two cases, the plate was removed. Discussion: In our series, we had no cases of head necrosis, screws cutout, fracture collapse, hardware mobilization, and we think this could be the real advantage of the percutaneous technique compared to the open one, thanks to the reduced biological damage. We had some poor results, related more to patient's age than to other factors. The safety of the technique for the axillary nerve is demonstrated in the literature and confirmed by our experience. Conclusions: Percutaneous plating of proximal humeral fractures with NCB-PH plate has demonstrated to be a good strategy in managing these lesions without increasing complications. Istituto Ortopedico Rizzoli, 2013 Proximal humeral fractures nationallicence Humeral percutaneous plating nationallicence Minimally invasive plating nationallicence Imarisio D. Orthopedics and Traumathology Department, Ospedale Regina Montis Regalis, Via Rocchetto 99, 12084, Mondovì, CN, Italy aut Trecci A. Orthopedics and Traumathology Department, Ospedale Regina Montis Regalis, Via Rocchetto 99, 12084, Mondovì, CN, Italy aut Sabatini L. Orthopedics and Traumathology Department, San Luigi Gonzaga University Hospital, Regione Gonzole, Orbassano, TO, Italy aut Scagnelli R. Orthopedics and Traumathology Department, Ospedale Regina Montis Regalis, Via Rocchetto 99, 12084, Mondovì, CN, Italy aut MUSCULOSKELETAL SURGERY Springer Milan 97(2013-06-01), 85-91 2035-5106 97<85 2013 97 12306 https://doi.org/10.1007/s12306-013-0266-z text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12306-013-0266-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Imarisio D. Orthopedics and Traumathology Department, Ospedale Regina Montis Regalis, Via Rocchetto 99, 12084, Mondovì, CN, Italy aut NATIONALLICENCE 700 1- Trecci A. Orthopedics and Traumathology Department, Ospedale Regina Montis Regalis, Via Rocchetto 99, 12084, Mondovì, CN, Italy aut NATIONALLICENCE 700 1- Sabatini L. Orthopedics and Traumathology Department, San Luigi Gonzaga University Hospital, Regione Gonzole, Orbassano, TO, Italy aut NATIONALLICENCE 700 1- Scagnelli R. Orthopedics and Traumathology Department, Ospedale Regina Montis Regalis, Via Rocchetto 99, 12084, Mondovì, CN, Italy aut NATIONALLICENCE 773 0- MUSCULOSKELETAL SURGERY Springer Milan 97(2013-06-01), 85-91 2035-5106 97<85 2013 97 12306 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer