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J Orthop Trauma. 2010 Jul;24(7):e69-73. doi: 10.1097/BOT.0b013e3181cdae5c.

Failure of internal fixation of a humerus fracture resulting from longitudinal fissuring: a case report.

Author information

1
Department of Orthopaedic Surgery, University of Pennsylvania Health System, Philadelphia, PA, USA.

Abstract

We present the case of failure of internal fixation of a humerus fracture resulting from longitudinal fissuring of the far cortex from linearly placed screws. Our case involves a 60-year-old right hand-dominant male who underwent open reduction and internal fixation of a left midshaft humerus fracture (Orthopaedic Trauma Association Type 12-B2) with an ipsilateral Bado Type I Monteggia fracture after being struck by a motor vehicle while crossing the street. Our patient's fixation subsequently failed, which was found intraoperatively to be caused by a stress riser along the far cortex from linearly place screws.

PMID:
20577065
DOI:
10.1097/BOT.0b013e3181cdae5c
[Indexed for MEDLINE]

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