The advantages of humeral anteromedial plate osteosynthesis in the middle third shaft fractures

Kirin, I; Jurišić, Davor; Grebić, Damir; Nadalin, Sergej

doi:10.1007/s00508-010-1523-x

Cited by 15 publications

(21 citation statements)

References 12 publications

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“…Incidence of radial nerve palsy in posterior plating has been reported to be 11.14%. [6] In our study we did not have any radial nerve palsy.…”

Section: Discussionmentioning

confidence: 54%

“…Plate fixation results in high union rates but requires extensive dissection and soft tissue stripping [3]- [5]. The most commonly used approaches for treating these fractures are posterior and anterolateral [6]- [10]. The incidence of radial nerve palsy through posterior approach is 11% and anterolateral plating is 5.4% [6].…”

Section: Introductionmentioning

confidence: 99%

“…The most commonly used approaches for treating these fractures are posterior and anterolateral [6]- [10]. The incidence of radial nerve palsy through posterior approach is 11% and anterolateral plating is 5.4% [6].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Anteromedial Plating of Humerus—An Easier and Effective Approach

Senthil¹,

Jambu²,

Chittranjan³

2015

OJO

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“…Incidence of radial nerve palsy in posterior plating has been reported to be 11.14%. [6] In our study we did not have any radial nerve palsy.…”

Section: Discussionmentioning

confidence: 54%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Anteromedial Plating of Humerus—An Easier and Effective Approach

Senthil¹,

Jambu²,

Chittranjan³

2015

OJO

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show abstract

“…Other studies by Kirin et al and Senthil et al in which plate was placed on medial surface did not show wrist drop. 10,11 Majority of the patients had clinical (87%) and radiological union (74%) during second follow up at three months. The range of motion at first, second and third follow ups showed gradual increase in mean flexion, abduction, external rotation and internal rotation.…”

Section: Discussionmentioning

confidence: 99%

“…The studies in which plate was positioned on medial surface, by Kirin et al, Senthil et al, Dayez et al concluded that, there was no requirement for blood transfusion for any of the patients, radial nerve palsy was not observed in any of the case immediately after surgery. [10][11][12] Evidence of union was seen between six to twelve weeks. Our experience was same regarding the need of blood transfusion, time period of healing, simplicity of procedure, safety and time duration of surgery.…”

Section: Discussionmentioning

confidence: 99%

A prospective study on clinical outcome of humerus shaft fracture and nonunion treated with antero medial plating

Kaki¹,

Babu²,

Malagan³

et al. 2019

Int J Res Orthop

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Background: Humeral shaft fractures have an incidence of 13 per 100000 per year and account for 3% of total fractures. The following study is carried out with intention for determining and verifying facts around plate osteosynthesis on anteromedial surface of humerus through anterior approach.Methods: This is a prospective study of 38 patients presenting with humerus shaft fracture and non-union to the Balaji Institute of Surgery Research and Rehabilitation for the Disabled (BIRRD) from April 2015 to March 2016. Inclusion criteria were age>18 years, acute humerus shaft fractures and nonunion of humerus shaft. Exclusion criteria were undisplaced fractures, fractures associated with neurovascular injury, compound and pathological fractures, infected non unions. The functional outcome was graded based on the QuickDASH score. Fisher’s exact test was used to find the association between categorical data.Results: Clinical union was noted in 87% of the patients and radiological union in 74% at the end of three months. The average time period required to achieve union was 13.57 weeks. Based on Quick DASH score, 66% of them had excellent outcome, 24% had good outcome, 10% had fair outcome, and none had poor outcome.Conclusions: It may be concluded that, anteromedial plating through anterior approach for the treatment of humerus shaft fractures and non union leads to a satisfactory functional outcome in most of the patients. Most of the fractures were united by 3 months with good range of motion of shoulder and elbow.

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The effect of plate location on radial nerve palsy recovery time associated with humeral shaft fractures

Gunsoy,

Sayer,

Dinc

et al. 2024

Eur J Trauma Emerg Surg

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BACKGROUNDThis study aims to investigate the in uence of plate placement on nerve regeneration in humerus fractures accompanied by radial nerve injury. METHODSA 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. RESULTSTwo distinct groups were established: lateral plating and anteromedial (AM) plating. These groups demonstrated comparability regarding age, gender, and body mass index (BMI). No statistically signi cant 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. CONCLUSIONAccording to the ndings 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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The advantages of humeral anteromedial plate osteosynthesis in the middle third shaft fractures

Abstract: An anteromedial plating of humeral shaft fractures through anterolateral approach was determinated to be a simple, safe, effective and also fast surgical treatment and we highly recommend it as operative technique for treating humeral shaft fractures.

Cited by 15 publications

References 12 publications

Anteromedial Plating of Humerus—An Easier and Effective Approach

Anteromedial Plating of Humerus—An Easier and Effective Approach

A prospective study on clinical outcome of humerus shaft fracture and nonunion treated with antero medial plating

The effect of plate location on radial nerve palsy recovery time associated with humeral shaft fractures

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