Skura Brian, Glazier Matthew T, Schuette Hayden B, Passias Braden J, Chang Iou-Ren, Verre John, Mehta Sanjay, Taylor Benjamin C
Orthopedic Surgery, OhioHealth, Columbus, USA.
Orthopedic Surgery, OhioHealth Grant Medical Center, Columbus, USA.
Cureus. 2022 Mar 16;14(3):e23233. doi: 10.7759/cureus.23233. eCollection 2022 Mar.
A fibular strut allograft is a reliable option for augmentation in open reduction internal fixation (ORIF) of proximal humerus fractures, but techniques to remove a fibular strut during revision shoulder arthroplasty are limited. Currently published techniques on extracting fibular strut grafts from humeral shafts include using a Midas burr, flexible osteotomes, humeral shaft osteotomy, and reaming. To our knowledge there has not been a technique that uses a corkscrew to remove the fibular strut from the proximal humerus in preparation for revision shoulder arthroplasty. This is a case report and description of a simple and reproducible technique that can be implemented in the setting of conversion from a proximal humerus lateral locking plate with fibular strut allograft to shoulder arthroplasty.
腓骨支撑异体骨移植是肱骨近端骨折切开复位内固定（ORIF）术中可靠的增强固定选择，但在翻修肩关节置换术中取出腓骨支撑物的技术有限。目前已发表的从肱骨干取出腓骨支撑移植物的技术包括使用迈达斯磨钻、柔性骨刀、肱骨干截骨术和扩髓。据我们所知，尚未有一种技术是使用螺旋钻从肱骨近端取出腓骨支撑物以准备翻修肩关节置换术。本文是一例病例报告，并描述了一种简单且可重复的技术，该技术可用于从带有腓骨支撑异体骨移植块的肱骨近端外侧锁定钢板转换为肩关节置换术的情况。
