J Korean Fract Soc.  2011 Jan;24(1):83-86. 10.12671/jkfs.2011.24.1.83.

Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader: Surgical Technique

• Jung GH
• Cho CH
• Kim JD

• KMID: 1449422
• DOI: http://doi.org/10.12671/jkfs.2011.24.1.83

Abstract

The minimally invasive plate osteosynthesis (MIPO) which is extensively performed, is very dependent on the indirect reduction technique to prevent the exposure of fracture sites. Indirect reduction with the use of the femoral distractor is a much more efficient technique to restore the length in the fracture of lower limbs. However, the femoral distractor cannot be used for fracture of upper limbs, and other instruments for indirect reduction have not yet been reported. Therefore, we introduce the novel indirect reduction technique with the use of the lumbar spreader for the MIPO of upper limbs.

Keyword

Upper extremity; Fracture; Minimally invasive plate osteosynthesis; lumbar spreader; Indirect reduction technique

MeSH Terms

Lower Extremity
Upper Extremity

Figure

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  Fig. 1 The lumbar spread is placed between plate and screw to widen the interval.

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  Fig. 2 (A) Under the fluoroscopic guide, the plate is inserted percutanously and identified the overlapped the bone fragments. (B) The traction is applied using the lumbar spread and the humeral length is restored.

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  Fig. 3 (A) Indirect reduction of the humeral fracture is achieved by distractive technique with lumbar spread. (B) Radiographs at 5 weeks post-operatively show callus formation and (C) radiographs at 15 weeks, the radiological union.

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