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

Not Applicable

Completed

• Conditions: Patients With Closed Neer Type 4 Proximal Humerus Fractures
• Interventions: Procedure: Pectoralis Major Pedicle Bone Graft

• Registration Number: NCT04995744
• Lead Sponsor: Prof. Dr. Cemil Tascıoglu Education and Research Hospital Organization

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.

Study Timeline

• Study Start: 2017-01-01
• Primary Completion: 2020-01-30
• Study Completion: 2020-02-01
• Status Verified: 2021-07
• Study First Submitted: 2021-07-30
• Study First Submitted QC: 2021-07-30
• Last Update Submitted: 2021-07-30
• Study First Posted: 2021-08-09
• Last Update Posted: 2021-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 17

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Patients with closed Neer type 4 proximal humerus fractures	Pectoralis Major Pedicle Bone Graft	patients aged 50-75 years with closed Neer type 4 proximal humerus fractures

Primary Outcome Measures

Name	Time	Method
Patients were evaluated in terms of functional shoulder results and radiographic union	2 years	Constant and American shoulder and elbow surgeons scores were used for functional assesment

Trial Locations

Locations (1)

SBU Prof. Cemil Tascioglu City Hospital; 🇹🇷 Istanbul, Turkey