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Table 5 Fixation characteristics in patients requiring revision for aseptic mechanical failure

From: Inadequate proximal screw fixation increases risk of failure following plate fixation of diaphyseal humerus fractures

Subject

Fracture location

Plate

Number of screws

Proximal

Distal

Method of failure

1

Proximal 1/3

3.5 mm Proximal Humerus Locking

6*

4

Distal screw pull out

2

Middle 1/3

4.5 mm LCDC, narrow

3

3

Plate failure

3

Middle 1/3

3.5 mm LCDC, narrow

3

3

Plate failure

4

Middle 1/3

3.5 mm LCDC, broad

3

3

Proximal screw pull out

5

Middle 1/3

4.5 mm LCDC, broad

3

4

Plate failure

6

Middle 1/3

4.5 mm LCDC, broad

3

4

Proximal screw pull out

7

Middle 1/3

4.5 mm LCDC, broad

4

4

Proximal screw pull out

8

Middle 1/3

3.5 mm LCDC, narrow

3

3

Distal screw pull out

9

Distal 1/3

3.5 mm LCDC, narrow

3

4

 

10

Distal 1/3

4.5 mm LCDC, narrow

3

3

Proximal screw pull out

11

Distal 1/3

3.5 mm LCDC, narrow + 1/3 tubular

3

3

Distal fragment failure

  1. *Represents use of locking screws, LCDC = limited contact dynamic compression
  2. Fixation characteristics in patients requiring revision for aseptic mechanical failure. The characteristics include location of fracture in the humeral shaft (proximal, middle, distal 1/3 of humerus) and the type of construct (plate fixation, and number of screws used in the proximal vs distal segment)