PLATE OSTEOSYNTHESIS OF DISTAL HUMERAL SHAFT FRACTURES
I. I. Litvinov , V. V. Klyuchevsky , A. A. Ryzhkin
Traumatology and Orthopedics of Russia ›› 2011, Vol. 17 ›› Issue (1) : 117 -120.
PLATE OSTEOSYNTHESIS OF DISTAL HUMERAL SHAFT FRACTURES
On the basis of three-dimensional analysis of the humerus bones was shown that the plate, placed on posterior-and-medial surface of the lower section of these bones, should be twisted in terminal portions and bended on both ends in the contact surface direction and should have an intermediate untwist sector. The results among 31 operatively treated patients with 32 distal third diaphyseal fractures of the humerus were analyzed. Was stated that the modified osteosynthesis of distal third diaphyseal fractures of the humerus associates with lower risk of iatrogenic damage it, provides fixation stability and significantly better outcomes (Students criterion – 2,7), which allows to use that method of internal fixation in cases where the performance of intramedullary nailig is not possible.
distal humerus fractures / plate osteosynthesis
| [1] |
1. Bell, M.J. The results of plating humeral shaft fractures in patients with multiple injuries: the Sunnybrook experience / M.J. Bell, C.G. Beauchamp, J.K. Kellam, R.Y. McMurty // J. Bone Joint Surg. – 1985. – Vol. 67-B. – P. 293–296. |
| [2] |
2. Constant, C.R. A clinical method of functional assessment of the shoulder / C.R. Constant, A.H. Murley // Clin. Orthop. – 1987. – N 214. – P. 160–164. |
| [3] |
3. Jawa, A. Extra-articular distal-third diaphyseal fractures of the humerus. A comparison of functional bracing and plate fixation / A. Jawa [et al.] // J. Bone Joint Surg. – 2006. – Vol. 88-A, N 11. – P. 2343–2347. |
| [4] |
4. Ruedi, T.P. AO Principles of fracture management / T.P. Ruedi, W.M. Murphy. –Stuttgart ; New York : Thieme, 2000. |
/
| 〈 |
|
〉 |