The Corkscrew Technique for Removing a Fibular Strut Allograft From the Proximal Humerus

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...

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Bibliographic Details
Published in:Cureus 2022-03, Vol.14 (3), p.e23233-e23233
Main Authors: Skura, Brian, Glazier, Matthew T, Schuette, Hayden B, Passias, Braden J, Chang, Iou-Ren, Verre, John, Mehta, Sanjay, Taylor, Benjamin C
Format: Article
Language:English
Subjects:
Case reports
Chronic obstructive pulmonary disease
Contraindications
Electromyography
Failure
Fractures
Joint surgery
Magnetic resonance imaging
Neurological disorders
Orthopedics
Patient satisfaction
Shoulder
Surgeons
Trauma
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Summary: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.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.23233