Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique

Functional outcome of extra-articular distal humerus fracture fixation using a single locking plate: A retrospective study

“…Recently, Meloy et al, 17 in a comparative study, contended that single-column plating with precontoured posterolateral locking plate results in comparable union rate and alignment in comparison to dual column plating for extra-articular distal humerus fracture but with (Table 2). [18][19][20][21] We feel that nonunion in our two cases (5.5%) were because of failure to achieve sufficient compression in anterior cortex, which may be partly due to plate configuration. The problem noted during application of plate on flat posterior aspect was offset of plate away from bone in proximal aspect; an attempt to approximate the plate close to the bone with the help of cortical screw leads to anterior opening of fracture site.…”

Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach

“…[5, 11–14] Options for internal fixation include intramedullary nailing and plate osteosynthesis either with double-column plating or a single column plate applied on the posterior or posterolateral side. Biomechanical studies have shown superior bending properties of humeral fractures fixed with a plate and screw system versus intramedullary devices.…”

Technical tip: fixation of extra-articular fractures of distal humerus with modified distal tibial locking plate

“…Cutting the plate requires additional instrumentation which normally may not be present in many operating room setups. Scolaro described the use of a pre-contoured distal humerus locking plate for distal humerus extraarticular fractures ( Figure 5D) [11]. Also, Jain et al used an extra articula posterolateral locking plate and reported a reoperation rate of 15.4% [3].…”