J Korean Fract Soc.  2008 Jul;21(3):255-260. 10.12671/jkfs.2008.21.3.255.

Humeral Shaft Fracture: Plating

• Kim YK
• Ahn BK

• KMID: 2015450
• DOI: http://doi.org/10.12671/jkfs.2008.21.3.255

Abstract

No abstract available.

Figure

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  Fig. 1 (A) Radiographs of 25-year-old male show a fracture with a butterfly fragment in the left distal 1/3 humerus. (B) In postoperative radiograph, a good alignment and stability were achieved with 4.5-mm DCP plate and one lag screw. (C) At 11 months after surgery, plate was removed. Radiograph shows good union.

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  Fig. 2 (A) Radiographs of 39-year-old female show a oblique fracture of the right humeral shaft. (B) Fixation with 3.5-mm LC-DCP plate was done to the fracture site. (C) At 11 weeks after osteosynthesis, bone union was obtained.

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  Fig. 3 (A) Radiographs of 17-year-old male show a oblique spiral fracture of the left distal 1/3 humerus with radial nerve palsy after close reduction. (B) After exposing the fracture site through an anterolateral approach, fracture was reduced anatomically with lag-screw fixation, followed by plate fixation. (C) Postoperatively, a good alignment was achieved.

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  Fig. 4 (A) Radiographs of 21-year-old male show an open comminuted fracture of the left humeral shaft. (B) After debridement, fixation with 4.5-mm DCP plate and one interfragmentary lag screw was done. (C) At 12 months after surgery, plate was removed. Radiograph shows good union.

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  Fig. 5 (A) Radiographs of 62-year-old male show a nonunion with the metal breakage. (B) After resection of margin, 4.5-mm LC-DCP plate was applied. (C) At 2 month after surgery, bone union was achieved.

Reference

1. Bell MJ, Beauchamp CG, Kellam JK, McMurtry RY. The results of plating humeral shaft fractures in patients with multiple injuries. The sunnybrook experience. J Bone Joint Surg Br. 1985; 67:293–296.

2. Bleeker WA, Nijsten MW, ten Duis HJ. Treatment of humeral shaft fractures related to associated injuries. A retrospective study of 237 patients. Acta Orthop Scand. 1991; 62:148–153.

3. Brien WW, Gellman H, Becker V, Garland DE, Waters DL, Wiss DA. Management of fractures of the humerus in patients who have an injury of the ipsilateral brachial plexus. J Bone Joint Surg Am. 1990; 72:1208–1210.

4. Cameron HU, Jacob R, Macnab I, Pilliar RM. Use of polymethylmethacrylate to enhance screw fixation in bone. J Bone Joint Surg Am. 1975; 57:655–656.

5. Changulani M, Jain UK, Keswani T. Comparison of the use of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. A randomised controlled study. Int Orthop. 2007; 31:391–395.

6. Chapman JR, Henley MB, Agel J, Benca PJ. Randomized prospective study of humeral shaft fracture fixation: intramedullary nails versus plates. J Orthop Trauma. 2000; 14:162–166.

7. Chiu FY, Chen CM, Lin CF, Lo WH, Huang YL, Chen TH. Closed humeral shaft fractures: a prospective evaluation of surgical treatment. J Trauma. 1997; 43:947–951.

8. Dabezies EJ, Banta CJ, Murphy CP, d'Ambrosia RD. Plate fixation of the humeral shaft for acute fracures, with and without radial nerve injuries. J Orthop Trauma. 1992; 6:10–13.

9. Ferragos AF, Schemitsch EH, Mckee MD. Complications of intramedullary nailing for fractures of the humeral shaft: a review. J Orthop Trauma. 1999; 13:258–267.

10. Foster RJ, Dixon GL Jr, Bach AW, Appleyard RW, Green TM. Internal fixation of fractures and non-unions of the humeral shaft. Indications and results in a multi-center study. J Bone Joint Surg Am. 1985; 67:857–864.

11. Jensen AT, Rasmussen S. Being overweight and multiple fractures are indications for operative treatment of humeral shaft fractures. Injury. 1995; 26:263–264.

12. Jupiter JB, von Deck M. Ununited humeral diaphyses. J Shoulder Elbow Surg. 1998; 7:644–653.

13. Liebergall M, Jaber S, Laster M, Abu-Snieneh K, Mattan Y, Segal D. Ender nailing of acute humeral shaft fractures in multiple injuries. Injury. 1997; 28:577–580.

14. Lin J. Treatment of humeral shaft fractures with humeral locked nail and comparison with plate fixation. J Trauma. 1998; 44:859–864.

15. Lin J, Inoue N, Valdevit A, Hang YS, Hou SM, Chao EY. Biomechanical comparison of antegrade and retrograde nailing of humeral shaft fracture. Clin Orthop Relat Res. 1998; 351:203–213.

16. McCormack RG, Brien D, Buckley RE, McKee MD, Powell J, Schemitsch EH. Fixation of fractures of the shaft of the humerus by dynamic compression plate or intramedullary nail. A prospective, randomised trial. J Bone Joint Surg Br. 2000; 82:336–339.

17. McKee MD, Miranda MA, Riemer BL, et al. Management of humeral nonunion after the failure of locking intramedullary nails. J Orthop Trauma. 1996; 10:492–499.

18. Modabber MR, Jupiter JB. Operative management of diaphyseal fractures of the humerus: plate versus nail. Clin Orthop Relat Res. 1998; 347:93–104.

19. Moran MC. Modified lateral approach to the distal humerus for internal fixation. Clin Orthop Relat Res. 1997; 340:190–197.

20. Müller ME, Perren SM, Allgöwer M. Manual of internal fixation: techniques recommended by the AO-ASIF group. 3rd ed. Berlin, Germany: Springer-Verlag;1991. p. 442–445.

21. Ring D, Kloen P, Kadzielski J, Helfet D, Jupiter JB. Locking compression plates for osteoporotic nonunions of the diaphyseal humerus. Clin Orthop Relat Res. 2004; 425:50–54.

22. Rosen H. The treatment of nonunions and pseudoarthrosis of the humeral shaft. Orthop Clin North Am. 1990; 21:725–742.

23. Sarmiento A, Waddell JP, Latta LL. Diaphyseal humeral fractures: treatment option. J Bone Joint Surg Am. 2001; 83:1566–1579.

24. Sarmiento A, Zagorski JB, Zych GA, Latta LL, Capps CA. Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Joint Surg Am. 2000; 82:478–486.

25. Tytherleigh-Strong G, Walls N, McQueen MM. The epidemiology of humeral shaft fractures. J Bone Joint Surg Br. 1998; 80:249–253.

26. Volgas DA, Stannard JP, Alonso JE. Nonunions of the humerus. Clin Orthop Relat Res. 2004; 419:46–50.