dc.creatorLabronici P.J.
dc.creatore Albuquerque R.P.
dc.creatorSchott V.
dc.creatorPires R.E.S.
dc.creatorBelangero W.D.
dc.creatorFranco J.S.
dc.date2014
dc.date2015-06-25T18:03:46Z
dc.date2015-11-26T15:06:04Z
dc.date2015-06-25T18:03:46Z
dc.date2015-11-26T15:06:04Z
dc.date.accessioned2018-03-28T22:16:36Z
dc.date.available2018-03-28T22:16:36Z
dc.identifier
dc.identifierInternational Orthopaedics. , v. , n. , p. - , 2014.
dc.identifier3412695
dc.identifier10.1007/s00264-014-2463-2
dc.identifierhttp://www.scopus.com/inward/record.url?eid=2-s2.0-84904272328&partnerID=40&md5=730035489e9d1b9e278f91ccbee6e659
dc.identifierhttp://www.repositorio.unicamp.br/handle/REPOSIP/88064
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/88064
dc.identifier2-s2.0-84904272328
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1257170
dc.descriptionPurpose The present study aims to evaluate if the bicipital groove can be used as a parameter for ideal plate positioning in proximal humeral fixation applying locking compression plate. Method The authors questioned whether the bicipital groove can be used as a parameter for ideal plate positioning applying locking compression plate for proximal humeral fractures. A method using the bicipital groove as the main parameter was developed using computed tomography scan (CT-scan). Seventy shoulders presenting fracture absence were used to calculate proper plate positioning, allowing the largest area for locked screw placement into the humeral head. Intraclass correlation coefficient and Bland and Altman graphics calculated intra-observer reliability for CT-scan evaluation. Results All observers presented satisfactory plate positioning using this method. The mean differences for observers were close to zero, suggesting high interobserver reproducibility. A significant (p <0.0001) intra-observer agreement existed for the three evaluators. Observer 2 agreement was the strongest (ICC = 0.98), showing almost perfect reproducibility measurement, followed by observer 3 (ICC = 0.84) with good reproducibility, and lastly observer 1 demonstrated moderate degree agreement (ICC = 0.47). Conclusion Considering the CT-scan analysis, the bicipital groove can be used as a parameter for ideal plate positioning in proximal humeral fractures. This method demonstrated satisfactory intra-observer reproducibility. Adopting this method, longer and better distributed screw placement provides more stable fixation for proximal humeral fractures. © 2014 SICOT aisbl.
dc.description
dc.description
dc.description
dc.description
dc.languageen
dc.publisher
dc.relationInternational Orthopaedics
dc.rightsfechado
dc.sourceScopus
dc.titleProximal Humeral Fractures: An Understanding Of The Ideal Plate Positioning
dc.typeArtículos de revistas


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