Intramedullary Cage Removal for a Consolidated Proximal Humerus Fracture: A Case Report

Suresh K. Nayar; Ankit Bansal; R. Timothy Kreulen; Scott Weiner; Babar Shafiq; Uma Srikumaran

doi:10.2106/JBJS.CC.19.00565

Intramedullary Cage Removal for a Consolidated Proximal Humerus Fracture: A Case Report

Suresh K. Nayar, Ankit Bansal, R. Timothy Kreulen, Scott Weiner, Babar Shafiq, Uma Srikumaran

School of Medicine

Research output: Contribution to journal › Article › peer-review

Abstract

Case:The expandable intramedullary cage (Conventus Orthopaedics) may treat 3- and 4-part proximal humerus fractures. Cage removal for symptomatic avascular necrosis with humeral head collapse requiring conversion to arthroplasty can be challenging because the cage's collapsing mechanism becomes inoperable after fracture consolidation. We present cage explantation followed by reverse total shoulder prosthesis placement in a 54-year-old man who underwent plate/cage fixation for a 3-part proximal humerus fracture 10 months earlier.Conclusion:The proximal humeral cage can be extracted safely while preserving adequate bone stock for subsequent arthroplasty. Additional time and exposure are necessary compared with removing a locking plate alone.

Original language	English (US)
Pages (from-to)	1-6
Number of pages	6
Journal	JBJS case connector
Volume	10
Issue number	3
DOIs	https://doi.org/10.2106/JBJS.CC.19.00565
State	Published - Jul 2020

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.19.00565

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title = "Intramedullary Cage Removal for a Consolidated Proximal Humerus Fracture: A Case Report",

abstract = "Case:The expandable intramedullary cage (Conventus Orthopaedics) may treat 3- and 4-part proximal humerus fractures. Cage removal for symptomatic avascular necrosis with humeral head collapse requiring conversion to arthroplasty can be challenging because the cage's collapsing mechanism becomes inoperable after fracture consolidation. We present cage explantation followed by reverse total shoulder prosthesis placement in a 54-year-old man who underwent plate/cage fixation for a 3-part proximal humerus fracture 10 months earlier.Conclusion:The proximal humeral cage can be extracted safely while preserving adequate bone stock for subsequent arthroplasty. Additional time and exposure are necessary compared with removing a locking plate alone.",

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AU - Bansal, Ankit

AU - Kreulen, R. Timothy

AU - Weiner, Scott

AU - Shafiq, Babar

AU - Srikumaran, Uma

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AB - Case:The expandable intramedullary cage (Conventus Orthopaedics) may treat 3- and 4-part proximal humerus fractures. Cage removal for symptomatic avascular necrosis with humeral head collapse requiring conversion to arthroplasty can be challenging because the cage's collapsing mechanism becomes inoperable after fracture consolidation. We present cage explantation followed by reverse total shoulder prosthesis placement in a 54-year-old man who underwent plate/cage fixation for a 3-part proximal humerus fracture 10 months earlier.Conclusion:The proximal humeral cage can be extracted safely while preserving adequate bone stock for subsequent arthroplasty. Additional time and exposure are necessary compared with removing a locking plate alone.

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Intramedullary Cage Removal for a Consolidated Proximal Humerus Fracture: A Case Report

Abstract

ASJC Scopus subject areas

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