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humeral metadiaphyseal fractures

Emanuel Benninger, Christoph Meier
INTRODUCTION: Minimally invasive lateral placement of plates on the humerus may be associated with a risk of injury to the radial nerve. Whereas this potential complication has been investigated in several studies, there is no data regarding potential injuries to the distal insertion of the deltoid muscle when the plates are passed distally in a submuscular tunnel. METHODS: Minimally invasive plate placement was performed on eight arms in fresh cadavers. A lateral deltoid split approach was made and the plates were introduced in an antegrade submuscular manner from proximal to distal...
March 2017: Injury
Jun-Gyu Moon, Hyuk-Nam Kwon, Sandeep Biraris, Won-Yong Shon
Minimally invasive plate osteosynthesis (MIPO) has been used for humeral shaft fractures, but concerns exist about soft tissue injuries. The purpose of this study was to report the surgical technique and clinical outcomes of MIPO using a helical plate for metadiaphyseal complex humeral shaft fractures. Twelve patients with acute displacement involving proximal and middle third humeral shaft fractures (AO type C) were treated using the MIPO technique with a helical plate. Fracture union, complications, and functional outcomes were evaluated using the Constant-Murley score and Mayo Elbow Performance Score (MEPS) at final follow-up...
March 2014: Orthopedics
Isaac B James, Dana J Farrell, Andrew R Evans, Peter A Siska, Ivan S Tarkin
PURPOSE: A proactive surgical and rehabilitation protocol was implemented to manage humeral fractures involving both the proximal end and shaft in an older patient population. Primary treatment goals were early return to function and reliable fracture union with minimal complications. METHODS: From 2008 to 2012, 21 such operations were performed; 18 were considered "fragility" fractures based on mechanism, patient age, and evidence of osteopenia or osteoporosis...
March 2014: Geriatric Orthopaedic Surgery & Rehabilitation
Robert L Wimberly, Philip L Wilson, Marybeth Ezaki, Benjamin D Martin, Anthony I Riccio
BACKGROUND: The management of posttraumatic bone loss is complicated and often requires complex reconstructive procedures. No options exist that are specific to the treatment of the growing skeleton that has intercalary bone loss. We have observed reconstitution of the humerus in 2 cases that have precluded extensive management. METHODS: Two pediatric patients sustained traumatic injuries to the upper extremities, including humeral bone loss, and are presented after spontaneous reconstitution of the segmental bone loss...
June 2014: Journal of Pediatric Orthopedics
Buchi Arumilli, Norbert Suhm, Jakob Marcel, Daniel Rikli
AIM: The purpose of the article is to highlight a specific fracture pattern encountered by us in the osteoporotic upper humerus. We present our results of management of such metadiaphyseal fractures of the upper humerus with less invasive plating. The additional steps taken to improve final outcome and the reasoning behind each are discussed. PATIENTS AND METHODS: In our department, a total of 13 fractures (in 12 patients) were managed for a metadiaphyseal fracture of the upper humerus between 2010 and 2013...
December 2014: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Stephen A Kottmeier, Clifford B Jones, Paul Tornetta, Thomas A Russell
Metadiaphyseal fractures of long bones are associated with considerable deforming forces, tenuous soft-tissue envelopes, and, often, severely compromised osseous integrity. Contemporary methods to fix complex metadiaphyseal fractures must achieve a balance between the biomechanical and biologic environments. The advent of precontoured locking plates inserted with evolving minimally invasive techniques may achieve both goals. Enthusiasm for their application demands continued scientific validation. Indications and outcomes must be carefully evaluated, and the benefits and limitations of this combination of implant design and surgical execution must be recognized...
2013: Instructional Course Lectures
Mario Rancan, Michael Dietrich, Tenzin Lamdark, Uenal Can, Andreas Platz
Minimal invasive plate osteosynthesis (MIPO) not only meets the criteria of a "biological" osteosynthesis by minimising invasivity as well as iatrogenic soft tissue damage, but can also provide adequate stability for fracture healing and early functional aftertreatment. Up to date, only few publications report on MIPO of humeral shaft fractures mainly using the anterolateral deltopectoral approach for proximal plate insertion. Objective of the present study was to assess the feasibility and clinical outcome of MIPO for metadiaphyseal fractures of the proximal humerus through a lateral approach using angular stable long PHILOS(®)-plates...
December 2010: Injury
P Havránek
The existing classifications of supracondylar fractures of humerus in children are not adequate and do not reflect the variability of this fracture, its requirements as for diagnosis and method of treatment. The article presents a list of classification published in literature starting from the Kocher classification of 1896 until the present schemes. These classifications divide supracondylar fractures into extension or flexion ones or according to the extent of displacement of fragments into 3-4 types. Only Wilkins mentions a different type, metadiaphyseal fracture, the treatment of which differs from usual procedures...
1998: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
J Srám, R Lukás, M Krivohlávek, S Taller
Storey and proximal metadiaphyseal humeral fractures are serious injuries, affecting patients of all age cathegories, however, elderly patients are affected more often. Conservative treatment results in a long-term immobilisation of the extremity, restricts ventilation and reduces the comfort. Former implants did not meet requirements for a stable osteosynthesis and hampered early rehabilitation. The Targon PH long nail (Aesculap, Tuttlingen, SRN) combines advantages of intramedullary fixation within the whole length of the medullary cavity with the use of angle-stable screws in the proximal fixation storey, which extends chances for a reliable osteosynthesis also to the proximal fifth of the humerus...
May 2007: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Peter S Rose, Christopher R Adams, Michael E Torchia, David J Jacofsky, George G Haidukewych, Scott P Steinmann
Treatment of proximal humeral fractures remains controversial, with multiple reported techniques and variable results. Recently, locking plates have become available for fixation of osteopenic and comminuted fractures. This study reports our initial experience with a new locking plate designed specifically for proximal humeral fractures. We observed 16 patients until union or revision with a mean of 12 months' follow-up. Of the 16 patients, 9 had high-energy injuries. There were nine 3-part, five 2-part, and two 4-part fractures...
March 2007: Journal of Shoulder and Elbow Surgery
Michael T Archdeacon, John D Wyrick
Obtaining and maintaining the reduction of high-energy, complex fractures involving the periarticular or shaft regions of the bone often is difficult with standard reduction clamps. We present and review a technique in which unicortical fracture fixation plates are applied at provisional states of reduction to maintain that reduction until definitive fixation can be applied. We have termed the technique "reduction plating," and modifications of this concept have proven useful in metadiaphyseal and diaphyseal fractures, periarticular fractures and acetabular fractures...
March 2006: Journal of Orthopaedic Trauma
Sanjay Kumar, John W Sperling, George H Haidukewych, Robert H Cofield
BACKGROUND: Currently, there is little information concerning periprosthetic humeral fractures after shoulder arthroplasty. Therefore, we reviewed our experience with these fractures to determine the results of treatment, the risk factors for periprosthetic fracture, and the rates of reoperation. METHODS: Between 1976 and 2001, nineteen postoperative periprosthetic humeral fractures occurred among 3091 patients who had undergone shoulder arthroplasty at our institution...
April 2004: Journal of Bone and Joint Surgery. American Volume
L Ponziani, R Pascarella, M Barchetti, P Palumbi, M Trono, M Magnani
The Marchetti-Vicenzi elastic nail was used in the osteosynthesis of 15 diaphyseal or metadiaphyseal fractures of the humerus, 14 cases achieved consolidation, 1 resulted in nonunion. Surgical approach was always distal, transtricipital and the nail was always locked distally. In the cases that healed, the mean radiographic consolidation time was 90 days. There were no immediate postoperative complications.
January 2001: La Chirurgia Degli Organi di Movimento
I I Khizhko
No abstract text is available yet for this article.
August 1981: Ortopediia Travmatologiia i Protezirovanie
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