Risk factors for hardware-related complications after extra-articular distal humerus fracture fixation using an anatomical locking plate

Jung, Hyoung‐Seok; Won, Yoo-Sun; Choi, Yang Seon; Lee, Jae-Sung

doi:10.1007/s00068-022-02064-0

Cited by 6 publications

(2 citation statements)

References 25 publications

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“…Therefore, the PHILOS could be an alternative for the fixation of a DHSF when considering the dissection range and complaints (e.g. skin irritation) associated with the EADHP 6 , 10 , 18 , 19 , 22 , 23 , 29 .…”

Section: Discussionmentioning

confidence: 99%

“…Posterior plating with extra-articular distal humerus plate (EADHP; DePuy Synthes Inc.) fixation is widely used to treat DHSF, and with its “J”-shaped titanium plate precontoured design 16 – 20 , the EADHP has the advantages of direct visualization of the radial nerve and sufficient fixation of the distal 3 , 20 , 21 . However, there is a risk of iatrogenic radial nerve injury during dissection or plate fixation and removal 16 – 19 , 22 , skin irritation due to plate protrusion, and limited range of motion of the elbow joint 17 , 19 , 23 .…”

Section: Introductionmentioning

confidence: 99%

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Biomechanical performance evaluation of a modified proximal humerus locking plate for distal humerus shaft fracture using finite element analysis

Lee,

Kim,

Yoon

2023

Sci Rep

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The extra-articular distal humerus plate (EADHP) has been widely used for surgical treatment of distal humerus shaft fracture (DHSF). However, the surgical approach, fixation methods, and implant positions of the EADHP remain controversial owing to iatrogenic radial nerve injury and complaints such as skin irritation related to the plate. Anterior plating with a modified (upside-down application) proximal humerus locking plate (PHILOS) has been proposed as an alternative, However, research on its biomechanical performance remain insufficient and were mostly based on retrospective studies. This study quantitatively compared and evaluated the biomechanical performance between posterior plating with the EADHP and anterior plating with a modified PHILOS using finite element analysis (FEA). The FEA simulation results that both the EADHP and PHILOS had adequate biomechanical performance and stability under axial, bending, and varus force load conditions. The PHILOS has a fixed stability comparable to that of the EADHP, and fixation was achieved using only four locking screws within a fixed range of 30 mm just above the olecranon fossa. The results show that the PHILOS could be an option for the fixation of a DHSF when considering the dissection range and complaints (e.g. skin irritation) associated with the EADHP.

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