Treatment of Distal Diaphyseal Humerus Fractures

Jawa, Andrew

doi:10.1016/j.jhsa.2009.11.007

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…However, the combination of the complex anatomy of the distal part of the humeral and complicated fracture morphology creates a challenge for the treating surgeon [4]. For the displaced fracture of the adult distal humeral diaphysis, the consensus is that stabilization of such fractures is appropriate [3,5,6]. Although there are numerous studies discussing the results of surgical fixation of displaced diaphyseal fractures of the adult humerus [7,8,9,10,11], few studies [12,13] have specifically addressed the results using AO (Association for the Study of Internal Fixation) metaphyseal locking compression plates (MLCPs).…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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“…Переломы костей, образующих локтевой сустав, являются распространенной патологией и, по данным разных авторов [14][15][16], составляют до 20% от всех внутрисуставных повреждений опорно-двигательного аппарата. Для лечения переломов суставных поверхностей локтевого сустава со смещением в настоящее время наиболее часто применяется оперативный способ лечения [1,3,7,8]. Оперативное лечение подобных переломов представляет определенную сложность, которая обусловлена оскольчатым характером перелома, низкой плотностью губчатой кости в области перелома, необходимостью точного восстановления сложной суставной поверхности локтевого сустава [5,14,15,19].…”

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Application of Compression Mini-Screws in Treatment of Patients With Injury of Elbow Joint Bones

Ks²

2015

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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A case report presents the experience of application of compression pileateless mini-screws (Gerbert’s screws) in treatment of intra-articular fractures, which formed the elbow joint (44 cases). There were performed 32 operations concerning fracture of head of radius, 10 operations on the occasion of fractures of distal section of the humerus and 2 operations on the coronoid process. Long-term treatment results were followed-up in 31 patients during more than 6 months. On basis of analysis of treatment results the authors made a conclusion that the application of mini-screws in case of bone fractures, which formed the elbow joint, allowed realization of stable osteosynthesis after anatomic reposition of articular surfaces, obtaining good anatomical and functional result and shortened the terms of patient’s treatment.

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Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach

Kharbanda¹,

Tanwar²,

Srivastava³

et al. 2016

Strategies in Trauma and Limb Reconstruction

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Management of extra-articular distal humerus fractures presents a challenge to the treating surgeon due to the complex anatomy of the distal part of the humerus and complicated fracture morphology. Although surgical treatment has shown to provide a more stable reduction and alignment and predictable return to function, it has been associated with complications like iatrogenic radial nerve palsy, infection, non-union and Implant failure. We in the present series retrospectively analysed 20 patients with extra-articular distal humerus shaft fractures surgically treated using the extra-articular distal humeral locking plate approached by the triceps-sparing posterolateral approach. The outcome was assessed using the DASH score, range of motion at the elbow and the time to union. The mean time to radiographic fracture union was 12 weeks.

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Treatment of Distal Diaphyseal Humerus Fractures

Cited by 3 publications

References 8 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

Application of Compression Mini-Screws in Treatment of Patients With Injury of Elbow Joint Bones

Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach

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