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Bridge plate in humerus

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https://www.readbyqxmd.com/read/27904716/is-anterior-bridge-plating-for-mid-shaft-humeral-fractures-a-suitable-option-for-patients-predominantly-involved-in-overhead-activities-a-functional-outcome-study-in-athletes-and-manual-laborers
#1
Abhishek S Mahajan, Young Gun Kim, Jae Hwa Kim, Prashanth D'sa, Azhar Lakhani, Hyun Soo Ok
BACKGROUND: To assess the functional and radiological outcomes of minimally invasive anterior bridge plating (ABP) for mid-shaft humerus fractures in patients predominantly involved in overhead activities (athletes and manual laborers). METHODS: Forty-eight patients fulfilling inclusion criteria were treated with ABP at a level-I trauma center using a 4.5-mm dynamic/locking compression plate and followed for a period of 1 year. Functional outcome was assessed using the Constant, Mayo elbow, and Disabilities of the Arm, Shoulder and Hand (DASH) scores...
December 2016: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/26852379/anterior-augmentation-plating-of-aseptic-humeral-shaft-nonunions-after-intramedullary-nailing
#2
Jan Gessmann, Matthias Königshausen, Marlon Osman Coulibaly, Thomas Armin Schildhauer, Dominik Seybold
INTRODUCTION: Humeral shaft nonunion after intramedullary nailing is a rare but serious complication. Treatment options include implant removal, open plating, exchange nailing and external fixation. The objective of this retrospective study was to determine whether augmentation plating without nail removal is feasible for treating a humeral shaft nonunion. MATERIALS AND METHODS: Between 2002 and 2014, 37 patients (mean age 51, range 20-84 years) with aseptic humeral shaft nonunions prior to intramedullary nailing were treated with augmentation plating...
May 2016: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/26560014/interventions-for-treating-proximal-humeral-fractures-in-adults
#3
REVIEW
Helen H G Handoll, Stig Brorson
BACKGROUND: Fracture of the proximal humerus, often termed shoulder fracture, is a common injury in older people. The management of these fractures varies widely. This is an update of a Cochrane Review first published in 2001 and last updated in 2012. OBJECTIVES: To assess the effects (benefits and harms) of treatment and rehabilitation interventions for proximal humeral fractures in adults. SEARCH METHODS: We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, and other databases, conference proceedings and bibliographies of trial reports...
2015: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/25246375/locking-plate-fixation-provides-superior-fixation-of-humerus-split-type-greater-tuberosity-fractures-than-tension-bands-and-double-row-suture-bridges
#4
Cinzia Gaudelli, Jérémie Ménard, Jennifer Mutch, G-Yves Laflamme, Yvan Petit, Dominique M Rouleau
BACKGROUND: This paper aims to determine the strongest fixation method for split type greater tuberosity fractures of the proximal humerus by testing and comparing three fixation methods: a tension band with No. 2 wire suture, a double-row suture bridge with suture anchors, and a manually contoured calcaneal locking plate. METHODS: Each method was tested on eight porcine humeri. A osteotomy of the greater tuberosity was performed 50° to the humeral shaft and then fixed according to one of three methods...
November 2014: Clinical Biomechanics
https://www.readbyqxmd.com/read/24868188/minimal-invasive-ostheosintesis-for-treatment-of-diaphiseal-transverse-humeral-shaft-fractures
#5
Rodrigo Kallás Zogaib, Steven Morgan, Paulo Santoro Belangero, Hélio Jorge Alvachian Fernandes, William Dias Belangero, Bruno Livani
OBJECTIVE: To evaluate patients with transverse fractures of the shaft of the humerus treated with indirect reduction and internal fixation with plate and screws through minimally invasive technique. METHODS: Inclusion criteria were adult patients with transverse diaphyseal fractures of the humerus closed, isolated or not occurring within 15 days of the initial trauma. Exclusion criteria were patients with compound fractures. RESULTS: In two patients, proximal screw loosening occurred, however, the fractures consolidated in the same mean time as the rest of the series...
2014: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/24262669/complications-after-interlocking-intramedullary-nailing-of-humeral-shaft-fractures
#6
Asen Baltov, Rashkov Mihail, Enchev Dian
INTRODUCTION: IM nails have gained popularity for stabilization of humeral shaft fractures (HSF). The initial enthusiasm was tempered by a number of specific complications and thus indications need to be re-evaluated. PATIENTS AND METHODS: This retrospective study includes 111 patients with HSF subjected to a treatment protocol of IM fixation with first and second generation of humeral nails. Antegrade approach was used in 105 (94.5%) and retrograde in 6 (5.5%) patients...
January 2014: Injury
https://www.readbyqxmd.com/read/24126338/management-of-upper-limb-bone-defects-using-free-vascularized-osteoseptocutaneous-fibular-bone-graft
#7
Hassan Hamdy Noaman
Sixteen patients (11 men and 5 women), who formed the basis of the study, underwent surgery in the Hand and Reconstruction Microsurgical Unit, Orthopedic Department, Sohag Faculty of Medicine, from January 2001 to January 2009.The right side was involved in 7 cases and the left side in 9 cases. Average age was 35.2 years. The causes of bone defects were infected nonunion of both bone forearms in 5 cases, infected nonunion of the middle part of radius in 4 cases, posttraumatic bone loss of distal radius in 4 cases, and tumor of shaft humerus in 3 cases (aneurysmal bone cyst in 1 and osteosarcoma in 2 patients)...
November 2013: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/24086869/closed-reductions-and-percutaneus-k-wire-fixation-for-adolescent-intercondylar-fractures-of-the-distal-humerus
#8
Julfiqar, Ajay Pant, N Huda, Wasim Ahmed
INTRODUCTION: Intercondylar (T-Condylar) fractures of the humerus are very rare in children. The usual mechanism of the injury which is involved is a fall on a flexed elbow. The treatment options vary, depending upon the degree of the displacement and the amount of comminution and; they may range from a simple application of traction to open reduction and internal fixation with plates and screws. Open reduction is associated with significant post-operative stiffness of the elbow and subsequent less than satisfactory functional results...
August 2013: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/23793479/autologous-double-barrel-vascularized-fibula-bone-graft-for-arthrodesis-of-the-shoulder-after-tumor-resection
#9
Karl Wieser, Kourosh Modaressi, Franziska Seeli, Bruno Fuchs
INTRODUCTION: Arthrodesis of the shoulder is a straightforward and established alternative to reconstruct the shoulder function after tumor resection of the proximal humerus. In most cases, some kind of intercalary bone graft is used to bridge the bony defect. However, due to low stability of a single fibula autograft and disadvantages of exogenous graft material when performing combined allo- and autograft reconstruction, efforts to develop new surgical techniques, with the intention to lower the complication rates, are ongoing...
September 2013: Archives of Orthopaedic and Trauma Surgery
https://www.readbyqxmd.com/read/23748616/biomechanical-evaluation-of-different-internal-fixation-methods-for-humerus-shaft-fractures-with-medial-butterfly-fragment
#10
Mehmet Aykut Türken, Mehmet Akdemir, Bora Uzun, Mustafa Ozkan
OBJECTIVE: The aim of this study was to compare the biomechanical strength of three fixation methods in humerus shaft fractures with medial butterfly fragment. METHODS: An AO 12B2 fracture with butterfly fragment was created in 21 synthetic cortical shell humeri. Humeri were divided into 3 groups which underwent bridge plating, antegrade intramedullary nailing or retrograde intramedullary nailing. Rotational and four-point bending test displacement curves were obtained...
2013: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/23736772/complex-distal-humerus-fractures-comparison-of-polyaxial-locking-and-nonlocking-screw-configurations-a-preliminary-biomechanical-study
#11
Sven Hungerer, Felix Wipf, Geert von Oldenburg, Peter Augat, Rainer Penzkofer
OBJECTIVE: The investigation hypothesized that in current anatomical precontoured plates, angular stability plays only a minor role for the efficacy of the osteosynthesis at the distal humerus. METHODS: An AO C2.3 fracture model was simulated and osteosynthesis performed with plates positioned in parallel. System rigidity and median fatigue limit were analyzed in artificial bones and the cycles to failure in cadaver specimens. Loads were applied in anterior-posterior direction (75° flexion) and axial direction (5° flexion)...
March 2014: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/22717617/anterior-minimally-invasive-bridge-plate-technique-for-treatment-of-humeral-shaft-nonunion
#12
Paulo Roberto Vilaça, Marcelo Koh Uezumi
BACKGROUND: The present study introduces a new surgical technique and the results of a case series of patients with humeral shaft nonunion. MATERIALS AND METHODS: Fifteen patients with diagnosis of diaphyseal nonunion of humerus were operated by a bridge-plate technique. A 4.5-mm plate is slid on the anterior surface of the humerus, submuscular to the brachial muscle. With the plate over the anterior surface of the humerus, screws are inserted from anterior to posterior on the ends of the plate...
December 2012: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/21577158/adult-proximal-humerus-locking-plate-for-the-treatment-of-a-pediatric-subtrochanteric-femoral-nonunion-a-case-report
#13
Luis E Cortes, Miguel Triana, Francisco Vallejo, Theddy F Slongo, Philipp N Streubel
Nonunions of pediatric subtrochanteric femur fractures are exceedingly rare and have to date not been reported in the literature. We present the case of an 11-year-old boy who developed such a nonunion after open reduction internal fixation using a pediatric locked proximal femur plate. Using an adult proximal humerus locking plate, adequate proximal fixation of the nonunion was obtained. Furthermore, previously placed distal screw holes were safely bridged and the biomechanical environment around the nonunion site improved...
July 2011: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/20577069/clinical-results-for-minimally-invasive-locked-plating-of-proximal-humerus-fractures
#14
REVIEW
Götz Röderer, Johannes Erhardt, Michael Graf, Lothar Kinzl, Florian Gebhard
OBJECTIVES: To describe the minimally invasive treatment of fractures of the proximal humerus using the Non-Contact-Bridging (NCB) plate. The system allows secondary locking of screws to the plate with a locking cap and polyaxial (30 degrees radius) screw placement. DESIGN: Prospective cohort study. SETTING: University Level I trauma center. PATIENTS: Fifty-four patients with unstable fractures of the proximal humerus...
July 2010: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/20135123/fractures-of-the-distal-humerus-in-elderly-patients-treated-with-a-ring-fixator
#15
Alon Burg, Michael Berenstein, Joel Engel, Tal Luria, Moshe Salai, Israel Dudkiewicz, Steven Velkes
The aim of distal humerus fracture treatment is articular surface reduction and stable fixation for early mobilisation and rehabilitation. This is usually performed by open reduction and internal fixation with plates. In the elderly osteoporotic patient this treatment is difficult to achieve due to fixation failure in fragile bone. We present our experience with treatment by closed reduction and external fixation with a non-bridging ring fixator in distal humerus fractures in elderly patients. There were ten females, aged 70-89 (average 78...
January 2011: International Orthopaedics
https://www.readbyqxmd.com/read/20087720/less-invasive-plate-osteosynthesis-in-humeral-shaft-fractures
#16
Theerachai Apivatthakakul, Chanakarn Phornphutkul, Anupong Laohapoonrungsee, Yuddhasert Sirirungruangsarn
OBJECTIVE: Stable internal fixation of the humeral shaft by less invasive percutaneous plate insertion using two separate (proximal and distal) incisions, indirect reduction by closed manipulation and fixation to preserve the soft tissue and blood supply at the fracture zone. Early mobilization of the shoulder and elbow to ensure a good functional outcome. INDICATIONS: Humeral shaft fractures (classified according to AO classification as: 12-A, B, C). Humeral shaft fractures extending to the proximal or distal shaft, small or deformed medullary canal or open growth plate...
December 2009: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/20024525/-biomechanical-investigation-of-fixed-angle-plate-osteosynthesis-of-the-proximal-humerus
#17
G Röderer, M AbouElsoud, F Gebhard, L Claes, A J Aschoff, L Kinzl
INTRODUCTION: Proximal humeral fractures are common in the elderly population and are often associated with osteoporosis. Fixation of unstable proximal humeral fractures is problematic due to loss of fixation in osteoporotic bone. Fixed-angle devices are intended to provide superior mechanical stability due to the principle of an internal fixator. The NCB(R)-PH (non-contact-bridging proximal humerus) plate is a new fixed-angle device that locks the screws to the plate by secondary insertion of a locking cap...
February 2010: Der Unfallchirurg
https://www.readbyqxmd.com/read/19597631/appendicular-fracture-repair-in-dogs-using-the-locking-compression-plate-system-47-cases
#18
P J Haaland, L Sjöström, M Devor, A Haug
The locking compression plate (LCP) has combination screw holes, making it possible to use the implant in three different ways; as a pure internal fixator using locking head screws, as a conventional compression plate using compression screws, or as a hybrid of the two. The experience with the LCP system in veterinary fracture repair is limited. The objective of this study was to evaluate the outcome of appendicular fractures in dogs, which were repaired with the LCP system combined with less invasive surgical techniques...
2009: Veterinary and Comparative Orthopaedics and Traumatology: V.C.O.T
https://www.readbyqxmd.com/read/18563410/use-of-intramedullary-fibular-strut-graft-a-novel-adjunct-to-plating-in-the-treatment-of-osteoporotic-humeral-shaft-nonunion
#19
S Vidyadhara, K Vamsi, Sharath K Rao, James J Gnanadoss, S Pandian
Humeral shaft fractures respond well to conservative treatment and unite without much problem. Since it is uncommon, there is not much discussion regarding the management of nonunion in the literature, and hence this is a challenge to the treating orthopaedic surgeon. Osteoporosis of the fractured bone and stiffness of the surrounding joints compounds the situation further. The Ilizarov fixator, locking compression plate, and vascularised fibular graft are viable options in this scenario but are technically demanding...
August 2009: International Orthopaedics
https://www.readbyqxmd.com/read/17921837/minimally-invasive-application-of-the-non-contact-bridging-ncb-plate-to-the-proximal-humerus-an-anatomical-study
#20
Götz Röderer, Maged Abouelsoud, Florian Gebhard, Tobias M Böckers, Lothar Kinzl
OBJECTIVES: To describe a minimal anterolateral acromial approach for minimally invasive (MI) treatment of fractures of the proximal humerus (PH) with the Non-Contact-Bridging (NCB) plate. DESIGN: 1) Cadaver study and 2) clinical case series. SETTING: 1) University Institute of Anatomy and the 2) University Level I trauma center. SPECIMENS/PATIENTS: 1) Ten fresh frozen human humeri and 2) 22 patients with 22 isolated proximal humeral fractures...
October 2007: Journal of Orthopaedic Trauma
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