Shaft of humerus fracture managed by anteromedial plating through anterolateral approach.

Ahmed, Muhammad Adeel; Bux, Muhammad; Ahmed, Naveed; Kumar, Mukesh; Ishtiyaque, Muhammad; Hussain, Ghulam

doi:10.29309/tpmj/2021.28.06.4778

Cited by 2 publications

(2 citation statements)

References 13 publications

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“…The excellent functional outcome was achieved in 165 (73.3%) cases and good functional outcome in 58 (25.8%) cases. A fair outcome was achieved in two (0.9%) of the cases [ 11 ].…”

Section: Resultsmentioning

confidence: 99%

A Comparison of Anteromedial Plating Versus Anterolateral Plating for Humerus Shaft Fractures Using the Anterolateral Approach

Gangwar,

Goel,

Dua

et al. 2024

Cureus

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Background Plate osteosynthesis is the gold standard treatment for the management of humeral shaft fractures. In the present study, we performed plate osteosynthesis on the anteromedial and anterolateral surfaces using the anterolateral approach to compare the functional outcomes. Aims and objectives To study and compare the functional outcome, time to achieve union and associated complications of anteromedial and anterolateral plating in humerus shaft fracture by anterolateral approach. Methods This prospective, randomised control study was performed at Dr Baba Saheb Ambedkar Medical College and Hospital, New Delhi, India. This study had 46 patients in total, who were divided into two equal groups at random. All of the fractures in group A were treated using a limited contact dynamic compression plate (LCDCP) on the anterolateral surface using an anterolateral approach, while all of the fractures in group B were corrected using an anteromedial surface using an anterolateral approach using LCDCP. All the patients were followed for six months at regular intervals. At each follow-up, patients were assessed radiologically with X-rays and clinically by Rodriguez-Merchan criteria (RM criteria). Results and conclusions The union was achieved in the majority of the cases of the anteromedial plating group within 12 weeks (78.3%) with a mean union time of 11.7±1.5 weeks than the anterolateral group (56.5%) with a mean union time of 12.3±1.8 weeks. Based on functional assessment according to RM criteria, the excellent outcome was achieved in 69.6% and 65.2% of the anterolateral and anteromedial plating groups, respectively. There was no case of non-union and radial nerve palsy in anteromedial plating cases whereas in anterolateral cases one patient did not achieve union and two (8.7%) had radial nerve injury, which recovered completely by the end of the study. An anterolateral approach with anteromedial surface plating on the flat medial aspect of the humerus is a good technique for fixing humeral fractures.

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“…The excellent functional outcome was achieved in 165 (73.3%) cases and good functional outcome in 58 (25.8%) cases. A fair outcome was achieved in two (0.9%) of the cases [ 11 ].…”

Section: Resultsmentioning

confidence: 99%

A Comparison of Anteromedial Plating Versus Anterolateral Plating for Humerus Shaft Fractures Using the Anterolateral Approach

Gangwar,

Goel,

Dua

et al. 2024

Cureus

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“…Lateral plating was performed between January 2018 and December 2021, and then all patients received anteromedial plating (Fig. 2) since the evidence showed that AM plating has signi cant advantages over lateral plating [18,19]. None of the fractures was shortened.…”

Section: Surgical Methodsmentioning

confidence: 99%

The Effect of Plate Location on Radial Nerve Palsy Recovery Time Associated with Humeral Shaft Fractures

Günsoy,

Sayer,

Dinç

et al. 2024

Preprint

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BACKGROUND This study aims to investigate the influence of plate placement on nerve regeneration in humerus fractures accompanied by radial nerve injury. METHODS A retrospective analysis was conducted on a cohort of 94 patients with humerus fractures and concomitant radial nerve injury treated between January 2018 and November 2022. After applying exclusion criteria, 31 patients were included in the study. Clinical outcomes were assessed by comparing demographic data, surgical duration, radial nerve recovery time, the Mayo Elbow Performance Score (MEPS), Disabilities of the Arm Shoulder and Hand (DASH), and the Medical Research Council (MRC) scale. RESULTS Two distinct groups were established: lateral plating and anteromedial (AM) plating. These groups demonstrated comparability regarding age, gender, and body mass index (BMI). No statistically significant differences were observed between the groups concerning MEPS and MRC. The AM plating group notably exhibited shorter surgical durations, faster recovery times, and lower DASH scores. CONCLUSION According to the findings of this investigation, in cases of humerus fractures accompanied by radial nerve injury, AM plating may be preferable over lateral plating due to its association with reduced surgical durations, expedited nerve recovery, and superior functional outcomes.

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Shaft of humerus fracture managed by anteromedial plating through anterolateral approach.

Cited by 2 publications

References 13 publications

A Comparison of Anteromedial Plating Versus Anterolateral Plating for Humerus Shaft Fractures Using the Anterolateral Approach

A Comparison of Anteromedial Plating Versus Anterolateral Plating for Humerus Shaft Fractures Using the Anterolateral Approach

The Effect of Plate Location on Radial Nerve Palsy Recovery Time Associated with Humeral Shaft Fractures

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