Humeral shaft fractures

Gallusser, Nicolas; Barimani, Bardia; Vauclair, Frédéric

doi:10.1302/2058-5241.6.200033

Cited by 40 publications

(22 citation statements)

References 71 publications

(19 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nonunions of the humeral shaft occur in 0%–14% of cases after intramedullary nailing [ 1 ]. Several treatment methods for these nonunions have been described, the most suitable one being compression plating with autologous bone grafting [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Helical plating for a re-nonunion and a peri-implant fracture after humeral intramedullary nailing: A report of two cases

Nohmi

Suzuki

Sakamoto

2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

Section: Introductionmentioning

confidence: 99%

Helical plating for a re-nonunion and a peri-implant fracture after humeral intramedullary nailing: A report of two cases

Nohmi

Suzuki

Sakamoto

2022

Annals of Medicine &Amp; Surgery

View full text Add to dashboard Cite

“…Humeral Shaft fractures account for roughly 3% of all long-bone fractures [1]. The treatment of humeral shaft fractures ranged from closed methods, external fixation, antegrade and retrograde intramedullary nailing and plating, to minimally invasive osteosynthesis [2].…”

Section: Introductionmentioning

confidence: 99%

Outcome of Minimally Invasive Plate Osteosynthesis for Comminuted Diaphyseal Humeral Fractures

Shamy

Forse

Mahmoud

et al. 2022

JAMMR

View full text Add to dashboard Cite

Aims: To examine the clinical outcomes of the minimally invasive plate osteosynthesis technique for comminuted diaphyseal humeral fractures based on clinical and radiologic records. Study Design: Prospective study. Place and Duration of Study: This study was carried on twenty-one adult patients with comminuted humeral shaft fracture treated with MIPO between February 2020 to February 2021 were included in this study. Methods: Patients with pathological fracture, Gustilo and Anderson type 2 or 3, intra-articular fracture and preoperative radial nerve palsy were excluded. The surgery time, blood loss and time of union were noted. Clinical outcome was assessed by Q-DASH score. Results: We had thirteen cases of 12-B type and eight cases of 12-C type of fracture. According to Q-DASH score, eighteen cases had satisfactory results. The mean radiological fracture union time was 13.85 weeks. Mean elbow flexion was 1250, mean extension range was -2.140. out of all cases, two cases had superficial wound infection. One patient had iatrogenic radial nerve palsy. One patient had non-union. Conclusion: Although technically demanding, MIPO technically should be considered one of the management options in the treatment of complex humeral diaphyseal fractures as it adheres to biological fixation principles with minimal soft tissue dissection, preserving fracture hematoma and periosteal blood supply.

show abstract

“…They found that the incidences of these screws contacting or damaging the radial nerve were 22.2%, 38.9%, 50.0%, 44.4% and 16.7%, respectively. The 4.5 mm narrow DCP is one of the standard plates in anterolateral humeral shaft plating [ 27 ] because it provides good stability [ 28 ] at a lower price, and is also available in all hospitals, which are notable considerations in developing country. However, to our knowledge, there have been no studies to date evaluating the dangerous screw holes in anterolateral humeral shaft plating using the 4.5 mm narrow DCP.…”

Section: Introductionmentioning

confidence: 99%

The risk of iatrogenic radial nerve and/or profunda brachii artery injury in anterolateral humeral plating using a 4.5 mm narrow DCP: A cadaveric study

et al. 2021

View full text Add to dashboard Cite

Introduction Fixation of humeral shaft fractures with a plate and screws can endanger the neurovascular structure if proper care is not taken. No studies to our knowledge have studied the risk of iatrogenic radial nerve and/or profunda brachii artery (RNPBA) injury from each screw hole of a 4.5 mm narrow dynamic compression plate (narrow DCP). The purpose of this study is to evaluate the risk of RNPBA injury in anterolateral humeral plating with a 4.5 mm narrow DCP. Material and methods 18 humeri of 9 fresh-frozen cadavers in the supine position were exposed via the anterolateral approach with 45 degrees of arm abduction. A hypothetical fracture line was marked at the midpoint of each humerus. A precontoured ten-hole 4.5mm narrow DCP was applied to the anterolateral surface of the humerus using the fracture line to position the center of the plate. All screw holes were drilled and screws inserted. The cadaver was then turned over to the prone position with 45 degrees of arm abduction, and the RNPBA exposed. The holes through in which 100% of the screw had contact with or penetrated the RNPBA were identified as dangerous screw holes, while lesser percentages of contact were defined as risky. Results The relative distance ratios of the entire humeral length from the lateral epicondyle of the humerus to the 4th, 3rd, 2nd and 1st proximal holes were 0.64, 0.60, 0.56 and 0.52, respectively. The most dangerous screw hole was the 2nd proximal, in which all 18 screws had contacted or penetrated the nerve, followed by the risky 1st (12/18), 3rd (8/18) and 4th (2/18) holes. Conclusion In humeral shaft plating with the 4.5mm narrow DCP using the anterolateral approach, the 2nd proximal screw hole carries the highest risk of iatrogenic radial nerve and/or profunda brachii artery injury.

show abstract

Humeral shaft fractures

Cited by 40 publications

References 71 publications

Helical plating for a re-nonunion and a peri-implant fracture after humeral intramedullary nailing: A report of two cases

Helical plating for a re-nonunion and a peri-implant fracture after humeral intramedullary nailing: A report of two cases

Outcome of Minimally Invasive Plate Osteosynthesis for Comminuted Diaphyseal Humeral Fractures

The risk of iatrogenic radial nerve and/or profunda brachii artery injury in anterolateral humeral plating using a 4.5 mm narrow DCP: A cadaveric study

Contact Info

Product

Resources

About