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Case Report
Periprosthetic Fracture after Proximal Humeral Intramedullary Nail, Treated by Functional Bracing: A Case Report
Jae Hyuk Shin, Ho Guen Chang, Young Woo Kim, Nam Kyou Rhee, Yong Bok Park, Yong Kuk Kim
J Korean Fract Soc 2011;24(2):185-190.   Published online April 30, 2011
DOI: https://doi.org/10.12671/jkfs.2011.24.2.185
AbstractAbstract PDF
Periprosthetic fracture following a proximal humeral intramedullary (IM) nailing is rarely reported neither for its occurrence nor for its treatment. Proximal humeral IM nail (Acumed, LLC, Hillsboro, OR, USA) has been increasingly reported of its successful treatment outcomes, yet there is paucity of data describing its complications. Here we report a 26 year-old female patient, who sustained a proximal humerus fracture which was initially successfully treated by proximal humeral IM nail, and was complicated by a periprosthetic fracture distal to the nail tip at postoperative 4 months. Serial application of U-shaped coaptation splint, hanging cast, and functional bracing resulted in satisfactory clinical outcome. Periprosthetic fracture after proximal humerus IM nail can occur by a low energy injury, which need to reminded in treating young and sports-active patients.

Citations

Citations to this article as recorded by  
  • Locking compression plate fixation of periprosthetic distant humeral fracture after intramedullary nail for humeral shaft fracture: A case report
    Mei-Ren Zhang, Kui Zhao, Jiang-Long Guo, Hai-Yun Chen
    Trauma Case Reports.2022; 37: 100565.     CrossRef
  • Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture
    Hiren M. Divecha, Hans A. J. Marynissen
    Case Reports in Orthopedics.2013; 2013: 1.     CrossRef
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