Plates vs. nails in humeral shaft fractures: Do plates lead to a better shoulder function?

Patiño, Juan Martín; Ramella, Juan C.; Michelini, Alejandro; Abdon, Ignacio M.; Rodriguez, Emanuel Fedum; Corna, Alejandro Felix Rullan

doi:10.1016/j.jseint.2021.01.012

Cited by 4 publications

(2 citation statements)

References 21 publications

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“…Insgesamt scheint die Versorgung mittels Plattenosteosynthese ein etwas besseres funktionelles Ergebnis bei gleichzeitig nicht wesentlich gesteigerter Komplikationsrate zu ermöglichen [32]. Im Vergleich zu den konservativ therapierten Frakturen ist jedoch eine etwas erhöhte Rate an Radialisparesen und Infektionen zu beobachten [21].…”

Section: Operative Therapieunclassified

Therapie von Humerusschaftfrakturen

Mäder¹,

Tille²,

Nowotny³

et al. 2023

Z Orthop Unfall

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Frakturen des Humerusschaftes sind seltene Verletzungen der oberen Extremität. Die Wahl der individuell besten Versorgungsstrategie stellt im klinischen Alltag mitunter weiterhin eine Herausforderung dar. Patientenspezifische Faktoren sollten neben der Frakturmorphologie, dem Entstehungsmechanismus und möglichen Begleitverletzungen (u. a. vorliegende neurologische oder Weichteilschädigung) die Grundlage dieser Entscheidungsfindung bilden.

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Section: Operative Therapieunclassified

Therapie von Humerusschaftfrakturen

Mäder¹,

Tille²,

Nowotny³

et al. 2023

Z Orthop Unfall

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“…Operativno lečenje je indikovano kod pacijenata sa otvorenim prelomom, višestrukom traumom, bilateralnim prelomom dijafize humerusa, pratećim istostranim prelomom podlaktice, patološkim prelomom, povrede neurovaskularne komponente u kombinaciji sa prelomom dijafize humerusa [37]. Najčešći primenjeni hirurški tretmani su: otvorena redukcija i unutrašnja fiksacija (ORIF) sa pločom, minimalno invazivno postavljanje i intramedularno osteosinteza ili spoljašnja fiksacija kod ozbiljne kompromitacije mekog tkiva [38][39][40][41].…”

Section: Review Articlesunclassified

Treatment fracture of the diaphisis humerus with functional plaster

Jovanović¹,

Miljković²,

Petrović³

et al. 2021

Praxis medica

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Treatment of humerus fractures is divided into operative and non-operative treatment Fractures of the diaphysis of the humerus heal well. Surgeons today have many opportunities to treat them. The decision on the type of treatment to be applied depends on the location of the fracture, the existence of associated injuries, the age and the general condition of the patient. Non-operative treatment is most often applied, although there are fractures in which surgical intervention is necessary in order to perform healing and prevent complications. Non-operative treatment of fractures of the diaphysis of the humerus gives good results, with little angulation and minimal or no shortening of the arm. Adequate repositioning, appropriate plaster immobilization and regular X-rays heal the fracture within the allotted time. Disciplined early physical therapy in terms of circular movements prevents shoulder contracture and allows later physical therapy to last significantly shorter. Non-operative treatment lasts from 7-11,5 weeks.

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Humeral shaft fracture: systematic review of non-operative and operative treatment

Bergen

Mahabier

Lieshout

et al. 2023

Arch Orthop Trauma Surg

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Introduction Humeral shaft fractures can be treated non-operatively or operatively. The optimal management is subject to debate. The aim was to compare non-operative and operative treatment of a humeral shaft fracture in terms of fracture healing, complications, and functional outcome. Methods Databases of Embase, Medline ALL, Web-of-Science Core Collection, and the Cochrane Central Register of Controlled Trials (CENTRAL) were systematically searched for publications reporting clinical and functional outcomes of humeral shaft fractures after non-operative treatment with a functional brace or operative treatment by intramedullary nailing (IMN; antegrade or retrograde) or plate osteosynthesis (open plating or minimally invasive). A pooled analysis of the results was performed using MedCalc. Results A total of 173 studies, describing 11,868 patients, were included. The fracture healing rate for the non-operative group was 89% (95% confidence interval (CI) 84–92%), 94% (95% CI 92–95%) for the IMN group and 96% (95% CI 95–97%) for the plating group. The rate of secondary radial nerve palsies was 1% in patients treated non-operatively, 3% in the IMN, and 6% in the plating group. Intraoperative complications and implant failures occurred more frequently in the IMN group than in the plating group. The DASH score was the lowest (7/100; 95% CI 1–13) in the minimally invasive plate osteosynthesis group. The Constant–Murley and UCLA shoulder score were the highest [93/100 (95% CI 92–95) and 33/35 (95% CI 32–33), respectively] in the plating group. Conclusion This study suggests that even though all treatment modalities result in satisfactory outcomes, operative treatment is associated with the most favorable results. Disregarding secondary radial nerve palsy, specifically plate osteosynthesis seems to result in the highest fracture healing rates, least complications, and best functional outcomes compared with the other treatment modalities.

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Plates vs. nails in humeral shaft fractures: Do plates lead to a better shoulder function?

Cited by 4 publications

References 21 publications

Therapie von Humerusschaftfrakturen

Therapie von Humerusschaftfrakturen

Treatment fracture of the diaphisis humerus with functional plaster

Humeral shaft fracture: systematic review of non-operative and operative treatment

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