Cargando…

Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating

INTRODUCTION: Osteosynthesis by plate fixation of humeral shaft fractures as a gold standard for fracture fixation has been proven beyond doubt. However, during conventional anterolateral plating Radial nerve injury may occur which can be avoided by applying plate on the medial flat surface. The aim...

Descripción completa

Detalles Bibliográficos
Autores principales: Rai, SK, Sud, AD, Kashid, M, Gogoi, B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Malaysian Orthopaedic Association 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751990/
https://www.ncbi.nlm.nih.gov/pubmed/33403064
http://dx.doi.org/10.5704/MOJ.2011.011
_version_ 1783625764798726144
author Rai, SK
Sud, AD
Kashid, M
Gogoi, B
author_facet Rai, SK
Sud, AD
Kashid, M
Gogoi, B
author_sort Rai, SK
collection PubMed
description INTRODUCTION: Osteosynthesis by plate fixation of humeral shaft fractures as a gold standard for fracture fixation has been proven beyond doubt. However, during conventional anterolateral plating Radial nerve injury may occur which can be avoided by applying plate on the medial flat surface. The aim of this study was to evaluate the results of application of plate on the flat medial surface of humerus rather than the conventional anterolateral surface. MATERIALS AND METHODS: This study was conducted between Oct 2010 to Dec 2015. One-hundred-fifty fracture shafts of the humerus were treated with the anteromedial plating through the anterolateral approach. RESULTS: One-hundred-fifty patients with a fracture shaft of the humerus were treated with anteromedial plating. Twenty were female (mean ±SD,28 years±4.5) and 130 were male (mean ± SD, 38 years±5.6). One hundred and forty-eight out of 150 (98.6%) patients achieved union at 12 months. Two of three patients developed a superficial infection, both of which were treated successfully by antibiotics and one developed a deep infection, which was treated by wound debridement, prolonged antibiotics with the removal of the plate and subsequently by delayed plating and bone grafting. CONCLUSION: In the present study, we applied plate on the anteromedial flat surface of humerus using the anterolateral approach. It is an easier and quicker fixation as compared to anterolateral plating because later involved much more dissection than a medial application of the plate and this application of plate on a medial flat surface, does not required Radial nerve exposure and palsy post-operatively. The significant improvement in elbow flexion without brachialis dissection is also a potential benefit of this approach. Based on our results, we recommend the application of an anteromedial plate for treatment of midshaft fractures humerus.
format Online
Article
Text
id pubmed-7751990
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Malaysian Orthopaedic Association
record_format MEDLINE/PubMed
spelling pubmed-77519902021-01-04 Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating Rai, SK Sud, AD Kashid, M Gogoi, B Malays Orthop J Original Study INTRODUCTION: Osteosynthesis by plate fixation of humeral shaft fractures as a gold standard for fracture fixation has been proven beyond doubt. However, during conventional anterolateral plating Radial nerve injury may occur which can be avoided by applying plate on the medial flat surface. The aim of this study was to evaluate the results of application of plate on the flat medial surface of humerus rather than the conventional anterolateral surface. MATERIALS AND METHODS: This study was conducted between Oct 2010 to Dec 2015. One-hundred-fifty fracture shafts of the humerus were treated with the anteromedial plating through the anterolateral approach. RESULTS: One-hundred-fifty patients with a fracture shaft of the humerus were treated with anteromedial plating. Twenty were female (mean ±SD,28 years±4.5) and 130 were male (mean ± SD, 38 years±5.6). One hundred and forty-eight out of 150 (98.6%) patients achieved union at 12 months. Two of three patients developed a superficial infection, both of which were treated successfully by antibiotics and one developed a deep infection, which was treated by wound debridement, prolonged antibiotics with the removal of the plate and subsequently by delayed plating and bone grafting. CONCLUSION: In the present study, we applied plate on the anteromedial flat surface of humerus using the anterolateral approach. It is an easier and quicker fixation as compared to anterolateral plating because later involved much more dissection than a medial application of the plate and this application of plate on a medial flat surface, does not required Radial nerve exposure and palsy post-operatively. The significant improvement in elbow flexion without brachialis dissection is also a potential benefit of this approach. Based on our results, we recommend the application of an anteromedial plate for treatment of midshaft fractures humerus. Malaysian Orthopaedic Association 2020-11 /pmc/articles/PMC7751990/ /pubmed/33403064 http://dx.doi.org/10.5704/MOJ.2011.011 Text en © 2020 Malaysian Orthopaedic Association (MOA). All Rights Reserved http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
spellingShingle Original Study
Rai, SK
Sud, AD
Kashid, M
Gogoi, B
Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
title Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
title_full Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
title_fullStr Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
title_full_unstemmed Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
title_short Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
title_sort anteromedial surface plating for midshaft fracture humerus through an anterolateral approach - a better option than anterolateral plating
topic Original Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7751990/
https://www.ncbi.nlm.nih.gov/pubmed/33403064
http://dx.doi.org/10.5704/MOJ.2011.011
work_keys_str_mv AT raisk anteromedialsurfaceplatingformidshaftfracturehumerusthroughananterolateralapproachabetteroptionthananterolateralplating
AT sudad anteromedialsurfaceplatingformidshaftfracturehumerusthroughananterolateralapproachabetteroptionthananterolateralplating
AT kashidm anteromedialsurfaceplatingformidshaftfracturehumerusthroughananterolateralapproachabetteroptionthananterolateralplating
AT gogoib anteromedialsurfaceplatingformidshaftfracturehumerusthroughananterolateralapproachabetteroptionthananterolateralplating