Pectoralis Major Pedicle Bone Graft For 4-Part Proximal Humerus Fractures

Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

Status: Completed

Conditions: Patients With Closed Neer Type 4 Proximal Humerus Fractures

Treatments: Procedure: Pectoralis Major Pedicle Bone Graft

Study type: Interventional

Funder types: Other

Identifiers

NCT04995744

Pectoralis Major Pedicle Graft

Details and patient eligibility

About

The investigators tried to evaluate the results of our patients who underwent plate osteosynthesis with vascularized pectoralis major graft for the treatment of 4-part proximal humerus fractures.

Full description

The risk of avascular necrosis, nonunion, or malunion is high in 4-part fractures which is the most serious form of proximal humerus fracture.Bone impaction grafts are an important treatment option when osteosynthesis with LCP plate is desired especially for osteoporotic patients. Fibular strut grafts (FSGs) and autologous iliac bone impaction grafts (AIBIGs), which are frequently used to provide mechanical support, may have the risk of nonunion in osteoporotic bone whose vascular support is weakened due to fracture. Bone pedicled pectoralis major grafts may prevent varus collapse, nonunion and avascular necrosis.

Enrollment: 17 patients

Sex: All

Ages: 50 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients aged 50-75 years with closed Neer type 4 proximal humerus fractures

Exclusion criteria

• Patients under 50 and over 75 years of age,
• Patients with pathological fractures,
• Patients with neurological deficits such as brachial plexus injury
• Patients with previous shoulder surgery

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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17 participants in 1 patient group

Patients with closed Neer type 4 proximal humerus fractures

Other group

Description:

patients aged 50-75 years with closed Neer type 4 proximal humerus fractures

Treatment:

Procedure: Pectoralis Major Pedicle Bone Graft