Plating of humeral shaft fractures—has the pendulum swung back?

Niall, D.; O'mahony, J.; McElwain, JP

doi:10.1016/j.injury.2003.10.021

Cited by 74 publications

(62 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The functional outcomes assessed by UCLA end-result score and Mayo elbow performance score systems in the affected shoulder and elbow in the two groups were also consistent with that previously reported in literature [4,11,12], showing that the anteriorly placed plates have little influence on shoulder and elbow function.…”

Section: Discussionsupporting

confidence: 89%

“…Operative intervention is indicated in special circumstances including (1) failure of closed reduction, (2) intra-articular extension of fractures, (3) neurovascular compromises, (4) associated ipsilateral forearm and elbow fractures, (5) segmental fractures, (6) pathological fractures, (7) open fractures, (8) fractures in polytraumatised patients, (9) bilateral humeral shaft fractures, (10) periprosthetic fractures and (11) transverse or short oblique fractures [3]. These fractures can be surgically treated by either using a dynamic compression plate [4,5] or intramedullary nails [5][6][7][8]. Although controversy exists over which is the better technique, most authors believe that open reduction and internal fixation with a dynamic compression plate is a more reliable method.…”

Section: Introductionmentioning

confidence: 99%

“…Although controversy exists over which is the better technique, most authors believe that open reduction and internal fixation with a dynamic compression plate is a more reliable method. The advantages include anatomical reduction of fractures and less interference to elbow and shoulder function [4,9]. The major disadvantages of this technique, however, are extensive soft tissue stripping and disruption of periosteal blood supply, which increase the risk of nonunion and iatrogenic radial nerve palsies [10][11][12].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique

Zeng

et al. 2009

International Orthopaedics (SICOT)

125

111

View full text Add to dashboard Cite

Results of two methods, conventional open reduction-internal plating and minimally invasive plating osteosynthesis (MIPO), in the treatment of mid-distal humeral shaft fractures were compared. Thirty-three patients were retrospectively analysed and divided into two groups. Group A (n=17) patients were treated by MIPO and group B (n=16) by conventional plating. The mean operation time in group A was 92.35±57.68 minutes and 103.12±31.08 minutes in group B (P=0.513). Iatrogenic radial nerve palsy in group A was 0% (0/17) and 31.3% in group B (5/16 (P=0.012). The mean fracture union time in group A was 15.29±4.01 weeks (range 8-24 weeks), and 21.25±13.67 weeks (range 10-58 weeks) in group B (P=0.095). The mean UCLA end-result score in group A was 34.76±0.56 points (range 33-35), and 34.38± 1.41 points (range 30-35) in group B (P=0.299). The mean MEPI in group A was 99.41±2.43 points (range 90-100) and 99.69±1.25 points (range 95-100) in group B (P= 0.687). When compared to the conventional plating techniques, MIPO offers advantages in terms of reduced incidence of iatrogenic radial nerve palsies and accelerated fracture union and a similar functional outcome with respect to shoulder and elbow function.

show abstract

Section: Discussionsupporting

confidence: 89%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique

Zeng

et al. 2009

International Orthopaedics (SICOT)

125

111

View full text Add to dashboard Cite

show abstract

“…Nonetheless, the authors advocated functional bracing as the method of choice if no contraindications existed [19]. The complication rates in plating are reported to be lower than in intramedullary nailing [6,13]. Open reduction and plating causes a scar, which might be troublesome, especially for young women.…”

Section: Discussionmentioning

confidence: 99%

Functional treatment of closed humeral shaft fractures

Toivanen

Nieminen

Laine

et al. 2004

International Orthopaedics (SICOT)

114

View full text Add to dashboard Cite

We treated 93 consecutive patients, average age 53 (16-90) years, with closed humeral shaft fractures applying a functional brace immediately after injury. Seventy-two (77%) fractures healed without problems. There were significantly more consolidation problems in fractures in the proximal third (46% consolidated) compared to those at the middle (81% consolidated) and distal third (86% consolidated) of the shaft. Logistic regression analysis revealed the only predictive factor in respect to successful brace treatment was fracture location. No significant difference was found in respect to healing between different AO-type fractures.Résumé Nous avons traité 93 malades consécutifs, d'âge moyen 53 ans (16-90), avec une fracture diaphysaire humérale fermée en utilisant une attelle fonctionnelle immédiatement après le traumatisme. Soixante-douze (77%) fractures ont guéri sans problème. Il y avait plus de difficultés de consolidation dans les fractures du tiers proximal (46% ont consolidé) comparé à celles du tiers moyen (81% ont consolidé) et du tiers distal (86% ont consolidé) de la diaphyse. L'analyse statistique a révélé que le seul facteur prédictif de la réussite du traitement est la localisation de la fracture. Aucune différence significative n'a été trouvée selon les types de la classification AO.

show abstract

“…Open reduction and internal fixation (ORIF) is the gold standard for surgical treatment. The advantages include anatomical reduction of fractures and less interference to elbow and shoulder function [1,2]. Disadvantages of this technique are extensive soft tissue stripping and disruption of periosteal blood supply, and hence the risk of non-union.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Minimally Invasive Plate Osteosynthesis Technique for Humerus Diaphyseal Fractures with an Anterior Approach

2017

IJSR

View full text Add to dashboard Cite

Background: Minimally invasive plate osteosynthesis (MIPO) technique is one of the many options for the fixation of diaphyseal fractures of the shaft of humerus using the anterior approach. We evaluated the clinical, radiographic, and functional outcome using the MIPO technique to fracture shaft of humerus. Materials and Methods: 64 adult patients with diaphyseal fractures of the humerus treated with MIPO between 2014 February and October 2016 were included in the study. Patients with metabolic bone disease, polytrauma, and Gustilo and Anderson type 3 open fractures with injury severity score >16 were excluded from the study. All cases were treated with closed indirect reduction and locking plate fixation using the MIPO technique. The surgery time, radiation exposure, and time for union was noted. The shoulder and elbow function was assessed using the UCLA shoulder and Mayo elbow performance scores, respectively. Results: Of the 64 patients in the study, 38 were males and 26 were females. The mean age was 39 years (range: 22-70 years). 40 of the 64 (84.3%) had the dominant side fractured. We had 16 cases of C2 type; 10 cases of C1 and 10 cases of A2 type; 8 cases of B2 type; 6 cases each of B3, B1, and A1 type; and 2 cases of A3 type of fracture. The mean surgical time was 94.5 minutes (range: 70-120 minutes) and mean radiation exposure was 160.3 seconds (range: 100-220 seconds). The mean radiological fracture union time was 12.9 weeks (range: 10-20 weeks). Shoulder function was excellent in 54 cases (84.3%) and good in remaining 10 cases (15.6%) on the UCLA score. Elbow function was excellent in 52 cases (81.2%), good in 10 cases (15.6%), and fair in 2 case (3.1%) who had an associated olecranon fracture that was fixed by hook plate in the next sitting.

show abstract

Plating of humeral shaft fractures—has the pendulum swung back?

Cited by 74 publications

References 31 publications

Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique

Plating osteosynthesis of mid-distal humeral shaft fractures: minimally invasive versus conventional open reduction technique

Functional treatment of closed humeral shaft fractures

Outcome of Minimally Invasive Plate Osteosynthesis Technique for Humerus Diaphyseal Fractures with an Anterior Approach

Contact Info

Product

Resources

About