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.

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 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 Functional and radiological outcomes of distal humerus fractures treated with pre-contoured locking compression plate

2022 ◽  
Author(s):  
Pravin K. Vanchi ◽  
Raghav R. V. ◽  
Mohan Kumar M.
Keyword(s):  
Range Of Motion ◽  
Distal Humerus ◽  
Locking Compression Plate ◽  
Osteoporotic Bone ◽  
Articular Fractures ◽  
Compression Plate ◽  
Maximum Range ◽  
Angle Stable ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

<p><strong>Background: </strong>Distal humerus intra-articular fractures are one of the complicated fractures managed by orthopaedic surgeons. We did a prospective and a retrospective study on 21 patients with these fractures treated with pre-contoured locking compression plate.</p><p><strong>Methods: </strong>The<strong> </strong>21 patients in this series were followed for a minimum of 1 year. The prospective study cases were followed at 3 months, 6 months and annually. The rating system of the Mayo elbow functional scoring system was used. The radiological evaluation was done using standard AP and lateral views.<strong></strong></p><p><strong>Results: </strong>We had 14 patients with range of motion of 50-100 degrees. There was only one patient with range of motion of &lt;50 degrees. 6 patients had the maximum range motion of &gt;100 degrees. We had 6 (23.57%) excellent, 9 (42.85%) good, 5 (23.80%) fair and 1 (4.7%) poor in the Mayo elbow scoring at the end of 1 year. We were able to compare our outcomes with a study done by Kumar et al done in 2017. They had 27 (89.66%) of excellent and good results as opposed to 27 (79.4%) in our study. Out of 21 patients in our study 17(80.95%) patients had good 11 (52.5%) / excellent 6 (28.5%) results. This was comparable with Jupiter et al. His study of 34 patients 26 (79.40/0) patients showed good 14 (41%) / excellent 13 (38.4%) result.<strong></strong></p><p><strong>Conclusions: </strong>Pre-contoured locking compression plate appears to be technically an ideal implant for comminuted osteoporotic bone providing an angle stable construct.</p>

scholarly journals Functional outcome of locking anatomical plate in extra articular fractures of the distal humerus

2019 ◽  
Vol 5 (3) ◽  
pp. 443
Author(s):  
Amit Chandrakant Supe ◽  
Nikhil Dilip Palange ◽  
Eknath D. Pawar ◽  
Neetin P. Mahajan
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
Distal Humerus ◽  
Radial Nerve Palsy ◽  
Dash Score ◽  
Articular Fractures ◽  
Early Return ◽  
Humerus Fractures ◽  
The Mean ◽  
Distal Humerus Fractures

<p class="abstract"><strong>Background:</strong> Extra articular distal humerus fractures are difficult to treat with conventional implants like intra medullary nail, 4.5 DCP and dual plate. The present study aims to study the functional outcome of the extra articular distal humerus plate (EADHP).</p><p class="abstract"><strong>Methods:</strong> 48 patients with displaced extra articular distal humerus fractures were included in the study. Inclusion criteria were age more than 18 years, closed fractures with or without radial nerve palsy and less than 3 weeks old trauma. Patients aged less than 18 years, those having open fractures, fractures more than 3 weeks old, non – unions and pathological fractures were excluded from the study. All patients were operated with EADHP. Clinically, the outcome was assessed by the disability of arm, shoulder and hand (DASH) score and elbow range of motion radiologically, union was evaluated on anteroposterior and lateral radiographs.<strong></strong></p><p class="abstract"><strong>Results:</strong> Out of 48 patients, 12 had AO type 12 A1 fracture, 26 patients had type B1 fractures and remaining 10 had type C1 fractures. Mean DASH score at final follow up was 18.1; range being 12.6 to 35.7 points. The mean elbow range of motion was 0 to 130 degrees (range: 120 to 140 degrees). The mean duration for complete radiological fracture union was 14 weeks, range being 12 to 18 weeks.</p><p class="abstract"><strong>Conclusions:</strong> The extraarticular distal humerus plate is an ideal implant for the fixation of distal humerus fractures since it provides good stability of fracture and enables early return to function.</p>

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
Sign in / Sign up

Export Citation Format

Share Document