Clinical trial NCT04995744: Pectoralis Major Pedicle Bone Graft For 4-Part Proximal Humerus Fractures
Official title: Pectoralis Major Pedicle Bone Graft For 4-Part Proximal Humerus Fractures
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Patients With Closed Neer Type 4 Proximal Humerus Fractures
Keywords: proximal humerus
closed
fracture
bone pedicled graft
Lead sponsor: Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization
Sponsor class: OTHER
First posted: 2021-08-09
Enrollment: 17
Sex: ALL
Minimum age (years): 50
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Patients were evaluated in terms of functional shoulder results and radiographic union
timeFrame: 2 years
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: SBU Prof. Cemil Tascioglu City Hospital
Study officials:
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