Minimally Invasive Anterior Plate Osteosynthesis in Humeral Shaft Fractures

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Nikolaus SchwarzBirgit Mayr

Abstract

Twelve patients with shaft fractures of the humerus were treated with percutaneous anterior plate osteosynthesis using a deltoid-pectoral respectively brachialis splitting approach without exposure of the radial nerve. The implants used were PHILOS plates, locking compression plates 3.5 and 4.5, and a tibial metaphyseal plate (all by Synthes). There were no intraoperative complications, no infections and no iatrogenic injuries of the radial or axillary nerve. Nine fractures healed entirely. There was one pseudarthrosis caused by a plate that was too short; another fracture probably healed but the distal screws broke; and one patient was lost to follow-up. Minimally invasive anterior plate osteosynthesis in humeral shaft fractures is an operative alternative which may be indicated not only in delayed healing or complex shaft fractures.

References

May 30, 2002·Injury·A A Fernández Dell'Oca
May 12, 2004·Injury·Bruno Livani, William Dias Belangero
May 3, 2005·Clinical Orthopaedics and Related Research·Michael J GardnerDean G Lorich
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Apr 1, 2007·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Jochen BlumPol M Rommens

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Citations

Dec 1, 2012·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Liang ZhangBin Ni
Dec 17, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·H ChenM Xiang
May 29, 2014·Acta ortopedica brasileira·Rodrigo Kallás ZogaibBruno Livani
Aug 17, 2018·The Journal of the American Academy of Orthopaedic Surgeons·Kevin TetsworthVaida Glatt

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