Scientific Article   |    
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; John M. FenlinJr., MD
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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.

J Bone Joint Surg Am, 2001 Oct 01;83(2 suppl 1):S38-42
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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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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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