[Are angle-fixed implants with elastic properties advantageous for the internal fixation of proximal humerus fractures?]

Biomed Tech (Berl). 2004 Dec;49(12):345-50. doi: 10.1515/BMT.2004.064.
[Article in German]

Abstract

There is a recent interest for the use of angle-fixed plates in the management of proximal humerus fractures. Rigid implants might be associated with an increased risk of cutting-out. In order to analyse the potential beneficial effects of the implant elasticity on fracture fixation, the biomechanical properties of a rigid and an elastic angle-fixed plating system were assessed in an experimental study. An unstable fracture of the surgical neck was created in 8 pairs of human humeri. Specimens were subjected to axial loading and torque. Stiffness, subsidence and load to failure were assessed. The implant with elastic properties was characterized by a lower torsional stiffness and a higher subsidence during axial loading and torque. This implant failed at lower loads than the rigid implant did. Elastic implant properties of angle-fixed plates have shown not to be advantageous for the management of fractures of the proximal humerus.

Publication types

  • Evaluation Study

MeSH terms

  • Bone Plates*
  • Bone Screws
  • Compressive Strength
  • Elasticity
  • Equipment Failure Analysis*
  • Fracture Fixation, Internal / adverse effects
  • Fracture Fixation, Internal / instrumentation*
  • Fracture Fixation, Internal / methods
  • Humans
  • In Vitro Techniques
  • Joint Instability / etiology
  • Joint Instability / physiopathology
  • Joint Instability / prevention & control
  • Prosthesis Failure
  • Shoulder Fractures / physiopathology*
  • Shoulder Fractures / surgery*
  • Tensile Strength
  • Torque