Stabilisation of articular fractures of the distal humerus: Early experience with a novel perpendicular plate system

Reising, Kilian; Hauschild, Oliver; Strohm, P. C.; Suedkamp, Norbert P.

doi:10.1016/j.injury.2008.12.018

Cited by 72 publications

(47 citation statements)

References 32 publications

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“…The 10.5% rate of tenderness after internal fixation of our study was lower than the 38.8% reported by Celli et al [18]. The 105–140 min range of operation time in our study was shorter than the 150–215 min in the studies by Soon et al [19] and Reising et al [20]. Although meticulous radial nerve protection is emphasized in plate fixation, the 5.3% incidence of iatrogenic radial nerve palsies was slightly lower than the 10.1% reported by Vazquez et al [21].…”

Section: Discussioncontrasting

confidence: 70%

Surgical Treatment of Adult Extra-Articular Distal Humeral Diaphyseal Fractures Using an Oblique Metaphyseal Locking Compression Plate via a Posterior Approach

Qing

Wang²,

Wang³

et al. 2011

Med Princ Pract

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Objective: The purpose of this study was to evaluate the feasibility and clinical outcome of using an oblique AO (Association for the Study of Internal Fixation) metaphyseal locking compression plate (MLCP) in the treatment of adult extra-articular distal humeral diaphyseal fractures via a posterior approach. Subjects and Methods: A series of 19 cases of adult extra-articular distal humeral diaphyseal fractures were surgically treated using an MLCP and lag screws, if necessary, via a posterior approach. All patients were followed for a mean time of 16.6 months (range from 12 to 20 months). The patients were followed up to 1 year, and radiological assessment was performed to observe fracture reduction and healing. Functional outcome was measured including the range of motion of the shoulder and elbow, by the University of California at Los Angeles and the Mayo Elbow Performance Score. Results: The incidence of iatrogenic radial nerve palsy was 5%. There was no failure of internal fixation and no infection. After 1 year, the University of California at Los Angeles scoring system rated 12 (63.2%) patients as excellent results. The Mayo elbow performance scoring system rated 10 (84%) cases as excellent results. Completely normal alignment was presented in 16 cases. Conclusion: Following surgical treatment of adult extra-articular distal humeral diaphyseal fractures, an oblique MLCP applied via a posterior approach achieved an adequate internal fixation and obtained an excellent functional outcome.

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Section: Discussioncontrasting

confidence: 70%

Surgical Treatment of Adult Extra-Articular Distal Humeral Diaphyseal Fractures Using an Oblique Metaphyseal Locking Compression Plate via a Posterior Approach

Qing

Wang²,

Wang³

et al. 2011

Med Princ Pract

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“…[43][44][45] Two clinical level IV studies have reported on the results of locked plating of distal humerus fractures (n = 52 patients). 46,47 Pooled analysis showed good/excellent results in 79% of patients, with only a single case of implant failure.…”

Section: Resultsmentioning

confidence: 97%

Distal Humerus Fractures

Nauth

Schemitsch

2011

Evidence‐Based Orthopedics

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“…The rate of ulnar neuropathy (6.66%) encountered in our study was nearly same as reported by Helfet et al (1993) 7% [21] but less than the rate reported by Reising et al (2008) 12.5%. [22] . Furthermore, we observed that this fixation was reasonably stable in osteopenic weak bones as majority of patients were more than 40 years of age with complain of osteoporosis.…”

Section: Discussionmentioning

confidence: 99%

Outcome of management of distal humerus fractures by locking compression plate

Gupta¹,

Rani²,

Rajkumar³

et al. 2017

Int. J. Orthop. Sci.

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Background: Distal humerus fracture is one of the commonest fractures among young adults and which accounts for about 30% of all elbow fractures. The treatment of these fractures continues to the challenges for orthopedics despite of many advances in technique and implants. Different modalities like 1/3rd tubular plate, reconstruction plate, K wires, double tension band wiring, etc, have been tried. The new distal humerus locking compression plate (LCP) system allows angular stable fixation of these complex fractures with anatomically pre-shaped plates. Aims: Aim of this study is to assess the benefits of using locking compression plate (LCP) in the management of distal humerus fractures clinically and as well as functionally. Materials and Methods: A prospective study of 30 adult patients with closed distal humerus fractures were treated by locking compression plate in the department of Orthopaedics, RIMS, Ranchi, between June 2014 to Sep 2015. Variables of each patient were recorded and analysed with respect to age, sex, fracture type, mode of injury, limb involvement, associated injuries, timing and duration of operation, duration of hospital stay, follow up, complications and final outcomes. These patients were followed up at different intervals i.e. at 3 weeks for first 3 months, then at 6-weeks interval for next 6 months and then at 3-month interval. Results: The average age was 38.5 years and majority patients were men (60%). The right humerus was involved in majority (70%) of patients. The complete union was achieved in all patients which was confirmed by radiographically. Average time interval between admission of patients and surgery was 7.8 days (range 4-13 days). The average operative time was 82 minutes (range 70-100 min). All the fractures as well as the olecranon osteotomies united at 12-18 weeks (average 13.80 weeks). There were no any case of primary malposition or secondary dislocation was observed. Using the Mayo elbow performance score, the majority (53.33%) of patients were graded as excellent. There was no any patient reported with deep infection, implant failure, non-union of fracture site or olecranon osteotomy site. There were only three patients those reported superficial wound infection, which was treated with antiseptic dressing and antibiotics. Transient ulnar nerve palsy developed in only 2 (6.66%) cases and both were recovered with conservative treatment. Conclusion: Findings can be concluding that the treatment of distal humerus fractures is a challenging task. Anatomically pre-shaped distal humeral locking compression plate system facilitates operative reduction and stabilization of the fracture and may allow with good range of motion, and flexion and extension force.

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Stabilisation of articular fractures of the distal humerus: Early experience with a novel perpendicular plate system

Cited by 72 publications

References 32 publications

Surgical Treatment of Adult Extra-Articular Distal Humeral Diaphyseal Fractures Using an Oblique Metaphyseal Locking Compression Plate via a Posterior Approach

Surgical Treatment of Adult Extra-Articular Distal Humeral Diaphyseal Fractures Using an Oblique Metaphyseal Locking Compression Plate via a Posterior Approach

Distal Humerus Fractures

Outcome of management of distal humerus fractures by locking compression plate

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