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Ci Ji Yi Xue Za Zhi. 2017 Jan-Mar;29(1):37-40. doi: 10.4103/tcmj.tcmj_6_17.

Tension wiring to increase stability of conventional plating for proximal humeral fractures: An alternative to a locking plate.

Hsu KL1,2,3, Tai TW2,3, Su WR2, Lin CJ2, Lee PY3,4.

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Division of Orthopaedics, Department of Surgery, National Cheng Kung University Hospital, Dou-Liou Branch, Yunlin, Taiwan.
Department of Orthopedics, National Cheng Kung University Hospital, Tainan, Taiwan.
Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
Department of Orthopaedics, Show Chwan Memorial Hospital, Changhua, Taiwan.


Fixation of comminuted or osteoporotic fractures in the proximal humerus is a challenge for orthopedic surgeons. In the past two decades, locking plates have been used for proximal humeral fracture fixation. However, complications such as loss of reduction have been reported, and the implants are not always available in some regions. Therefore, we describe an alternative procedure involving fixation with a nonlocking cloverleaf plate augmented with tension wiring to provide adequate stability and prevent loss of reduction.


Cloverleaf plate; Proximal humerus; Tension wire

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