The Journal of Bone and Joint Surgery (American) 83:S38-42 (2001)
© 2001 The Journal of Bone and Joint Surgery, Inc.
The Parachute Technique: Valgus Impaction Osteotomy for Two-Part Fractures of the Surgical Neck of the Humerus
Stephen P. Banco, MD,
Damian Andrisani, MD,
Matthew Ramsey, MD,
Barbara Frieman, MD and
John M. Fenlin, Jr., MD
Stephen P. Banco, MD
Department of Orthopaedic Surgery, Thomas Jefferson University,
1015 Chestnut Street, Suite 719, Philadelphia, PA 19107
Damian Andrisani, MD
Department of Orthopaedic Surgery, Wright State University, 3640
Colonel Glenn Highway, Dayton, OH 45435
Matthew Ramsey, MD
Department of Orthopaedic Surgery, Hospital of the University
of Pennsylvania, 3400 Spruce Street, 2nd Floor Silverstein Pavilion,
Philadelphia, PA 19104
Barbara Frieman, MD
John M. Fenlin Jr., MD
The Rothman Institute at Jefferson, 925 Chestnut Street, 5th Floor,
Philadelphia, PA 19107
In support of their research or preparation of this manuscript, one
or more of the authors received, after completion of the study,
grants or outside funding from Genzyme Resident Research Fund. None
of the authors received payments or other benefits or a commitment
or agreement to provide such benefits from a commercial entity.
A commercial entity (Genzyme Resident Research Fund) paid, after
completion of the study, benefits to a research fund, foundation,
educational institution, or other charitable or nonprofit organization
with which the authors are affiliated or associated.
Abstract
Fourteen elderly patients with a two-part fracture, in osteopenic
bone, of the surgical neck of the humerus were treated with a valgus
impaction osteotomy and tension band fixation—that is,
the parachute technique. Thirteen patients were followed, and all
were able to perform activities of daily living without difficulty
and were satisfied with the result of the surgery. The average age
of these thirteen patients was sixty-eight years, and the average
duration of follow-up was 18.5 months. Union was achieved in all
patients, at an average of 45.5 days. No patient demonstrated osteonecrosis
of the humeral head. This technique of valgus impaction osteotomy with
Dacron-tape tension band fixation leads to rapid union. Patient
satisfaction and function were excellent.
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