Surgical treatment of AO type C distal humeral fractures: Internal fixation with a Y-shaped reconstruction (Lambda) plate

Luegmair, Matthias; Timofiev, Evelin; Chirpaz-Cerbat, J.-M.

doi:10.1016/j.jse.2007.04.007

Cited by 33 publications

(33 citation statements)

References 23 publications

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“…Thus, stable fracture fixation in these cases still remains a problem and from investigations on treating this problem new techniques of fixation have emerged. Some authors have reported their best results by parallel precontoured plate in low supracondylar fractures [11]. O'Driscoll reported more stability between shaft and distal fragment by parallel placement of two plates in the sagittal plane and linking the plates together through the bone, creating an arch.…”

Section: Complicationsmentioning

confidence: 99%

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Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Kamrani

Mehrpour

Aghamirsalim

et al. 2011

International Orthopaedics (SICOT)

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Purpose Complex distal humerus fractures are difficult to fix by conventional methods, especially in comminuted low distal humerus fractures. We propose a technique using small diameter K-wires and a plate on the humeral shaft. Methods Between May 2007 and March 2009, 19 patients with poor bone quality showing comminuted or low distal humerus fractures involving the articular surface were referred to our institution and were primarily treated by this technique that we called "pin and plate fixation". We have reviewed all the cases treated by this method. Results The average age was 46 years. All of the patients were followed up for a mean of 12 months and had a good range of motion (the average total arc of flexion-extension was 99°); the average Disabilities of the Arm, Shoulder and Hand (DASH) score was 18 points. The Mayo Elbow Performance Index was measured and the mean score was 88 in our patients. Conclusions In this study, a technique has been evaluated for the treatment of complex distal humerus fractures. We recommend this technique in comminuted, osteoporotic or low distal humerus fractures in which other fixation methods seem difficult or even impossible.

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Section: Complicationsmentioning

confidence: 99%

“…There are a number of techniques in the literature for complex fractures such as bilateral plate fixation [4], ring fixator [5], double tension band wiring (TBW) [8] and distal humeral plate [11], but there is no unique method of fixation for all complex fractures.…”

Section: Introductionmentioning

confidence: 99%

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Kamrani

Mehrpour

Aghamirsalim

et al. 2011

International Orthopaedics (SICOT)

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“…9 No prospective randomized studies have been published on their outcomes, and the majority of the studies carried out were retrospective and involved a small number of patients. [10][11][12][13][14][15][16][17][18][19][20][21][22][23] Hence it is not possible to draw conclusions from them on the ideal configuration of the implant for stabilization of distal humerus fractures. …”

Section: Introductionmentioning

confidence: 99%

Comparative study of three models of extra-articular distal humerus fracture osteosynthesis using the finite element method on an osteoporotic computational model

Sabalić¹,

Kodvanj

Pavić

2013

Injury

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“…Such injuries can also result from a simple fall in the elderly population 3 . Although Y shape plate 4,5 has been used for years in the treatment of intra-articular distal humeral fracture, with a few modifi cations with two dorsal plates 6 or distal part of Y shape plate 7 (Lambda® plate, Zimmer, Étupes, France), it is not frequently used in the treatment of extra-articular distal humeral fracture and distal shaft fracture.…”

Section: Introductionmentioning

confidence: 99%

Influence of Gap Shape on Biomechanical Properties of Extra-Articular Distal Humeral Fracture – A Finite Element Study

Sabalić

Maričić

Tomičević

et al. 2016

acc

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SUMMARY -Th e aim of the study was to assess the infl uence of gap shape on biomechanical results in extra-articular distal humeral fracture: with contact on the posterior part (by anterior gap) and contact on ulnar column (by radial gap). Th e goal was to examine if and to what extent did displacements decrease in comparison with previously examined parallel gap without bony contact. Th e fi nite element analysis on the three diff erent plate constructs was performed, i.e. parallel, perpendicular and newly designed Y shape plate were considered. Displacements were measured on articular surface and gap point. Th e most visible decrease of maximum displacements in the distal part of the model was detected in the Y plate model with axial loading: in case of anterior gap 58.5% and especially at radially formed gap 60.9%. Similarly, at axial loading, displacement at the analyzed point on fracture gap most signifi cantly decreased in Y plate model (by 49.4%) at posterior bony contact. Moreover, the latter showed displacement decrease by 68.5% at ulnar bone contact. Furthermore, if a longer radial plate than the ulnar one was used, varus stress could have been avoided. Study results suggested that suffi cient stability could be ensured with the newly designed Y shape plate.

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Surgical treatment of AO type C distal humeral fractures: Internal fixation with a Y-shaped reconstruction (Lambda) plate

Cited by 33 publications

References 23 publications

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Comparative study of three models of extra-articular distal humerus fracture osteosynthesis using the finite element method on an osteoporotic computational model

Influence of Gap Shape on Biomechanical Properties of Extra-Articular Distal Humeral Fracture – A Finite Element Study

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