scholarly journals Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture

2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Hiren M. Divecha ◽  
Hans A. J. Marynissen
Keyword(s):  
Soft Tissue ◽  
Range Of Motion ◽  
Current Literature ◽  
Intramedullary Nail ◽  
Periprosthetic Fracture ◽  
Humeral Fracture ◽  
Locking Compression Plate ◽  
Periprosthetic Fractures ◽  
Intramedullary Device ◽  
Compression Plate

Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Descriptions of such cases in the current literature are very rare. We present the case of a midshaft humeral fracture treated with a locking compression plate that developed a nonunion, in a 60-year old female. This went on to successful union after exchange for an intramedullary humeral nail. Unfortunately, the patient developed a distal 1/5th humeral periprosthetic fracture, which was then successfully addressed with a single-contoured, extra-articular, distal humeral locking compression plate (Synthes) with unicortical locking screws and cerclage cables proximally around the distal nail tip region. An excellent postoperative range of motion was achieved.

scholarly journals Management of intercondylar femur fracture with distal femur locking compression plate: outcome analysis of 72 cases

2020 ◽  
Vol 6 (5) ◽  
pp. 1022
Author(s):  
Nadeem Ashraf Khan ◽  
A. M. Atif ◽  
Abhinandan Chatterjee
Keyword(s):  
Range Of Motion ◽  
Distal Femur ◽  
Femur Fracture ◽  
Locking Compression Plate ◽  
Open Fractures ◽  
Knee Score ◽  
Compression Plate ◽  
Special Surgery ◽  
Closed Fractures ◽  
Hospital For Special Surgery

<p class="abstract"><strong>Background:</strong> Supra-condylar and inter-condylar fractures of the distal femur account for 7% of all femoral fractures and have always been difficult to treat and regaining full knee function is often difficult. The purpose of this study is to evaluate the functional outcome, fracture healing, complications of distal femoral intercondylar fractures managed by locking compression plate.</p><p class="abstract"><strong>Methods:</strong> Total 72 patients of intercondylar femur fracture were operated by ORIF with distal femur-locking compression plate via the standard swashbuckler approach.<strong> </strong>The functional outcomes were analyzed using modified hospital for special surgery scoring system.<strong></strong></p><p class="abstract"><strong>Results:</strong> Muller type C2 fracture was the most common fracture type with 50 out of 72 patients. The average range of motion achieved was about 99.03°±24.73° (Closed fractures =105.83°±19.41°and open fractures = 89.50°±28.36°). There was also a significant difference in the duration of operative time, 84.28±18.32 minutes for closed fractures and 98.46±22.47 minutes for open fractures. The average duration for radiological union was 14.52±2.21 weeks for closed and 17.20±2.44 weeks for open fractures. The average knee score was 80.13±13.38 using modified Hospital for Special Surgery score.</p><p class="abstract"><strong>Conclusions:</strong> Closed fractures have a higher range of motion and a better knee score compared to open fractures, supporting the fact that soft tissue compromise also affects range of motion and post-op rehabilitation of the limb. The outcome seems to correlate with the nature of injury i.e. high vs low velocity, type of fracture, anatomic reduction, associated injuries, time elapsed since injury to fixation and the stability of fixation.</p>

Minimally Invasive Plate Osteosynthesis for Comminuted Fractures of the Metaphysis of the Radius

2005 ◽  
Vol 30 (2) ◽  
pp. 220-225 ◽  
Author(s):  
J. IMATANI ◽  
T. NODA ◽  
Y. MORITO ◽  
T. SATO ◽  
H. HASHIZUME ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Minimally Invasive ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Pronator Quadratus ◽  
Radial Inclination ◽  
Loss Of Reduction ◽  
Compression Plate ◽  
Comminuted Fractures

Five comminuted and displaced fractures of the distal metaphysis of the radius were treated by a technique of minimally invasive plate osteosynthesis (MIPO) with the aim of minimizing soft tissue damage and devascularization of the fracture fragments. This technique used the small AO T-shaped locking compression plate (AO LCP T-plate) and left the pronator quadratus intact. Radial inclination, palmar tilt, and ulnar variance were restored without loss of reduction in all five cases and the fractures healed at an average of 10 weeks, with good to excellent clinical outcomes.

scholarly journals Functional and radiological outcomes of distal humerus fractures treated with pre-contoured locking compression plate

2022 ◽  
Author(s):  
Pravin K. Vanchi ◽  
Raghav R. V. ◽  
Mohan Kumar M.
Keyword(s):  
Range Of Motion ◽  
Distal Humerus ◽  
Locking Compression Plate ◽  
Osteoporotic Bone ◽  
Articular Fractures ◽  
Compression Plate ◽  
Maximum Range ◽  
Angle Stable ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

<p><strong>Background: </strong>Distal humerus intra-articular fractures are one of the complicated fractures managed by orthopaedic surgeons. We did a prospective and a retrospective study on 21 patients with these fractures treated with pre-contoured locking compression plate.</p><p><strong>Methods: </strong>The<strong> </strong>21 patients in this series were followed for a minimum of 1 year. The prospective study cases were followed at 3 months, 6 months and annually. The rating system of the Mayo elbow functional scoring system was used. The radiological evaluation was done using standard AP and lateral views.<strong></strong></p><p><strong>Results: </strong>We had 14 patients with range of motion of 50-100 degrees. There was only one patient with range of motion of &lt;50 degrees. 6 patients had the maximum range motion of &gt;100 degrees. We had 6 (23.57%) excellent, 9 (42.85%) good, 5 (23.80%) fair and 1 (4.7%) poor in the Mayo elbow scoring at the end of 1 year. We were able to compare our outcomes with a study done by Kumar et al done in 2017. They had 27 (89.66%) of excellent and good results as opposed to 27 (79.4%) in our study. Out of 21 patients in our study 17(80.95%) patients had good 11 (52.5%) / excellent 6 (28.5%) results. This was comparable with Jupiter et al. His study of 34 patients 26 (79.40/0) patients showed good 14 (41%) / excellent 13 (38.4%) result.<strong></strong></p><p><strong>Conclusions: </strong>Pre-contoured locking compression plate appears to be technically an ideal implant for comminuted osteoporotic bone providing an angle stable construct.</p>

scholarly journals High Failure Rates of Locking Compression Plate Osteosynthesis with Transverse Fracture around a Well-Fixed Stem Tip for Periprosthetic Femoral Fracture

2020 ◽  
Vol 9 (11) ◽  
pp. 3758
Author(s):  
Byung-Woo Min ◽  
Kyung-Jae Lee ◽  
Chul-Hyun Cho ◽  
In-Gyu Lee ◽  
Beom-Soo Kim
Keyword(s):  
Locking Compression Plate ◽  
Periprosthetic Fractures ◽  
Periprosthetic Femoral Fracture ◽  
Transverse Fracture ◽  
Failure Rates ◽  
Fracture Patterns ◽  
Compression Plate ◽  
Group A ◽  
Group B ◽  
Group D

This study investigated the incidence of failure after locking compression plate (LCP) osteosynthesis around a well-fixed stem of periprosthetic femoral fractures (PFFs). We retrospectively evaluated outcomes of 63 Vancouver type B1 and C PFFs treated with LCP between May 2001 and February 2018. The mean follow-up duration was 47 months. Only patients with fracture fixation with a locking plate without supplemental allograft struts were included. We identified six periprosthetic fractures of proximal Vancouver B1 fractures with spiral pattern (Group A). Vancouver B1 fractures around the stem tip were grouped into seven transverse fracture patterns (Group B) and 38 other fracture patterns such as comminuted, oblique, or spiral (Group C). Vancouver C fractures comprised 12 periprosthetic fractures with spiral, comminuted, or oblique patterns (Group D). Fracture healing without complications was achieved in all six cases in Group A, 4/7 (57%) in Group B, 35/38 (92%) in Group C, and 11/12 (92%) in Group D, respectively. The failure rates of transverse Vancouver type B1 PFFs around the stem tip were significantly different from those of Vancouver type B1/C PFFs with other patterns. For fracture with transverse pattern around the stem tip, additional fixation is necessary because LCP osteosynthesis has high failure rates.

scholarly journals Humeral fracture repair using a robust fixation in an adult Giant Anteater (Myrmecophaga tridactyla): case report

2021 ◽  
Vol 73 (3) ◽  
pp. 647-652
Author(s):  
B.W. Minto ◽  
T.V. Magalhães ◽  
D.V.F. Lucena ◽  
I.M. Soriano ◽  
G.H.F. Barranco ◽  
...  
Keyword(s):  
Mechanical Load ◽  
Humeral Fracture ◽  
Locking Compression Plate ◽  
Fracture Repair ◽  
Adult Individual ◽  
Early Return ◽  
Thoracic Limb ◽  
Interfragmentary Movement ◽  
Compression Plate ◽  
Fracture Consolidation

ABSTRACT The treatment of fractures from the thoracic limb in giant anteaters is extremely challenging. Unfamiliar and peculiar anatomical characteristics, robust musculature and the imminent need for an early return to limb function highlight such challenges. The objective of this report was to describe the successful use of anatomical osteosynthesis with a robust locking compression plate in a humeral fracture of an adult giant anteater. The patient was rescued on the highway after being run over and presented for treatment at the Veterinary Teaching Hospital. Surgical stabilization was performed using a craniomedial approach to the humerus, using a customized broad 3.5mm locking compression plate. The patient presented early limb support at 24 hours postoperatively. Radiographic monitoring was performed at 30, 60 and 90 days postoperatively, and bone healing was observed without any complications. It is concluded that the treatment of humerus fractures in giant anteaters requires robust fixation. The use of a reinforced locking compression plate system proved to be effective and adequate to the mechanical load that an adult individual of this species needs for early use of the thoracic limb and, at the same time, efficient in controlling interfragmentary movement, which allowed fracture consolidation.

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