A pilot biomechanical study comparing a novel, intramedullary Nail/Plate construct to standard Dual-Plate fixation of intra-articular C2.3 distal humerus fractures

Injury ◽  
2020 ◽  
Vol 51 (10) ◽  
pp. 2148-2157
Author(s):  
Neil V. Shah ◽  
Westley T. Hayes ◽  
Hanbin Wang ◽  
John C. Hordines ◽  
Jonathan E. Karakostas ◽  
...  
Keyword(s):  
Intramedullary Nail ◽  
Plate Fixation ◽  
Nail Plate ◽  
Distal Humerus ◽  
Biomechanical Study ◽  
Dual Plate ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Surgical Treatment Strategy for Distal Humerus Intra-articular Fractures

2019 ◽  
Vol 22 (2) ◽  
pp. 113-117
Author(s):  
Hyo-Jin Lee
Keyword(s):  
Articular Surface ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Fixation Method ◽  
Controversial Issues ◽  
Articular Fractures ◽  
Dual Plate ◽  
Fracture Configuration ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Treating distal humerus fractures, especially those involving intra-articular lesions, is complex and often technically demanding. Although there still exist many controversial issues, the goal of treatment is to establish anatomical stable fixation by restoring the two columns and the articular surface. Universally, a posterior midline incision is applied, and the approach varies according to the further management of the triceps or olecranon. Evidence supports dual plate fixation as the optimal fixation method, and debates regarding appropriate plating configuration are still ongoing. As multiple clinical studies comparing results of parallel and perpendicular plate fixation have shown no actual difference, it is important to place the plates according to the fracture configuration.

scholarly journals Bilateral plate fixation for type C distal humerus fractures: experience at a single institution

2010 ◽  
Vol 35 (3) ◽  
pp. 433-438 ◽  
Author(s):  
Shao-hua Li ◽  
Zhen-hua Li ◽  
Zheng-dong Cai ◽  
Yu-chang Zhu ◽  
Yong-zhen Shi ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Distal Humerus ◽  
Single Institution ◽  
Type C ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Outcome of precontoured locking plate fixation in distal humerus fractures

2017 ◽  
Vol 3 (1c) ◽  
pp. 145-148
Author(s):  
Gurjinder Singh ◽  
◽  
HS Sohal ◽  
Rakesh Sharma ◽  
Jatin Banal ◽  
...  
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Locking Plate Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Outcomes of distal humerus fractures in patients above 65 years of age treated by plate fixation

2013 ◽  
Vol 99 (7) ◽  
pp. 771-777 ◽  
Author(s):  
P. Clavert ◽  
G. Ducrot ◽  
F. Sirveaux ◽  
T. Fabre ◽  
P. Mansat
Keyword(s):  
Plate Fixation ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

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

2011 ◽  
Vol 36 (4) ◽  
pp. 839-844 ◽  
Author(s):  
Reza Shariar Kamrani ◽  
Saeed Reza Mehrpour ◽  
Mohamad Reza Aghamirsalim ◽  
Reza Sorbi ◽  
Ramin Zargar Bashi ◽  
...  
Keyword(s):  
Surgical Technique ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Outcomes after Open Reduction and Plate Fixation of Distal Humerus Fractures

2015 ◽  
Vol 17 (6) ◽  
pp. 627-636 ◽  
Author(s):  
Piotr Piekarczyk ◽  
Krzysztof Kwiatkowski ◽  
Krzysztof Piątkowski ◽  
Justyna Gołos ◽  
Piotr Kuczmera
Keyword(s):  
Open Reduction ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Precontoured Parallel Plate Fixation of AO/OTA Type C Distal Humerus Fractures

2009 ◽  
Vol 23 (8) ◽  
pp. 575-580 ◽  
Author(s):  
George S Athwal ◽  
Samuel C Hoxie ◽  
Damian M Rispoli ◽  
Scott P Steinmann
Keyword(s):  
Parallel Plate ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Type C ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Does posterior configuration have similar strength as parallel configuration for treating comminuted distal humerus fractures? A cadaveric biomechanical study

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Chien-An Shih ◽  
Fa-Chuan Kuan ◽  
Kai-Lan Hsu ◽  
Chih-Kai Hong ◽  
Cheng-Li Lin ◽  
...  
Keyword(s):  
Failure Modes ◽  
Sagittal Plane ◽  
Distal Humerus ◽  
Biomechanical Study ◽  
Posterior Fixation ◽  
Fixation Failure ◽  
Plate Group ◽  
Failure Loads ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Abstract Background The posterior plating technique could be used as a clinical alternative to parallel plating for treating comminuted distal humerus fractures (DHFs) successfully with good clinical results. However, the biomechanical characteristics for posterior fixation are still unclear. The purpose of this study is to evaluate the biomechanical properties of the posterior fixation and to make comparisons between the parallel and the posterior fixation systems. Materials and methods We performed a cadaveric biomechanical testing with two posterior plating systems (a posterior two plating and a single posterior pre-contoured Y plating system) and one parallel two plating system to treat AO/OTA type-C2.3 DHFs. Among three groups, we compared construct stiffness, failure strength, and intercondylar width changes after 5000-cycle fatigue loading and failure loads and failure modes after destructive tests in both the axial compression and (sagittal) posterior bending directions. The correlations between construct failure loads and bone marrow density (BMD) were also compared. Results In axial direction, there were no significant differences in the stiffness and failure load between the posterior and the parallel constructs. However, in sagittal direction, the two-plate groups (posterior two plating and parallel plating group) had significant higher stiffness and failure loads than the one-plate group (single posterior Y plating). There was no fixation failure after 5000-cyclic loading in both directions for all groups. Positive correlation was noted between BMD and failure loads on parallel fixation. Conclusions We found that when using two plates for treating comminuted DHFs, there were no significant differences in terms of most biomechanical measurements between posterior and parallel fixation. However, the single pre-contoured posterior Y plate construct was biomechanically weaker in the sagittal plane than the parallel and the posterior two-plate constructs, although there was no fixation failure after the fatigue test for all groups regardless of the fixation methods. Level of evidence Biomechanical study

Intra-articular Distal Humerus Fractures: Parallel Versus Orthogonal Plating

2021 ◽  
pp. 155633162110098
Author(s):  
Jack M. Haglin ◽  
David N. Kugelman ◽  
Ariana Lott ◽  
Rebekah Belayneh ◽  
Sanjit R. Konda ◽  
...  
Keyword(s):  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Fracture Repair ◽  
Chi Square ◽  
Locking Compression Plates ◽  
Dual Plating ◽  
Dual Plate ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Background: Dual-plating osteosynthesis is the standard treatment for Orthopedic Trauma Association (OTA)-type 13-C distal humerus fractures. However, optimal plate position is debated. Purpose: The purpose of this study was to evaluate dual-plate positioning following intra-articular distal humerus fracture repair by comparing outcomes between patients plated in parallel and those plated orthogonally following open-reduction, internal-fixation (ORIF) of intra-articular distal humerus fractures. Methods: All OTA-type 13-C intra-articular distal humerus fractures treated operatively at our institution over a 10-year period were reviewed. Clinical outcomes and complications were compared between those plated in parallel and those plated orthogonally. Data were analyzed using independent-samples t-tests, Mann-Whitney U tests, chi-square tests, and Fisher’s exact tests. Results: A total of 69 patients met inclusion criteria. Mean follow-up among this cohort was 19.3 months; 45 (64.8%) patients had orthogonal dual plating, and 24 (35.2%) had parallel plating. Groups did not differ with respect to demographics or duration of follow-up. Clinically, there were no significant differences in time to union, elbow arc of motion at any time point, or patient Mayo Elbow Performance Index (MEPI) scores at final follow-up. Furthermore, there were no differences in complications. Conclusion: Parallel and orthogonal plating following ORIF of distal humerus fractures with modern, contoured locking compression plates had similar outcomes in this study. This study represents the largest comparative series in the literature at the time of its writing. Both techniques may be considered when deciding on dual-plating technique for treating intra-articular distal humerus fractures.

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