scholarly journals PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

2015 ◽  
Vol 18 (3) ◽  
pp. 128-132 ◽  
Author(s):  
Jung Ho Park ◽  
Jung Wook Kim ◽  
Chi Hun Oh ◽  
Keun Seok Choi ◽  
Jae Young Hong ◽  
...  
Keyword(s):  
Plate Osteosynthesis ◽  
Distal Humerus ◽  
Anterolateral Approach ◽  
Philos Plate ◽  
Metaphyseal Fractures

Arthroplasty compared to internal fixation by locking plate osteosynthesis in comminuted fractures of the distal humerus

2014 ◽  
Vol 39 (4) ◽  
pp. 747-754 ◽  
Author(s):  
Alexander Ellwein ◽  
Helmut Lill ◽  
Christine Voigt ◽  
Pauline Wirtz ◽  
Gunnar Jensen ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Locking Plate ◽  
Plate Osteosynthesis ◽  
Distal Humerus ◽  
Locking Plate Osteosynthesis ◽  
Comminuted Fractures

scholarly journals Minimally invasive plate osteosynthesis of the humeral shaft with regard to adjacent anatomical characteristics

2022 ◽  
Vol 12 (1) ◽  
Author(s):  
Gloria Maria Hohenberger ◽  
Georg Lipnik ◽  
Angelika Maria Schwarz ◽  
Peter Grechenig ◽  
Magdalena Holter ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Distal Part ◽  
External Rotation ◽  
Plate Osteosynthesis ◽  
Upper Extremities ◽  
Neurovascular Bundle ◽  
Humeral Shaft ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Philos Plate ◽  
The Mean

AbstractThe study goal was to evaluate the distances from the radial (RN), the musculocutaneous (MN) and axillary nerves (AN) and the medial neurovascular bundle of the upper arm to a minimally invasive applied plate and to define its relation to the RN during different degrees of malrotation during MIPO. The sample involved ten upper extremities. Application of a PHILOS plate was performed through a Delta-split. Intervals between the AN, MN, RN and the medial vascular bundle were defined at various positions. The humeral shaft was artificially fractured at a height of about the mean of the plate. The distal fragment was brought into 15° and 30° internal (IR) as well as external rotation (ER) and here, the plate’s relation to the RN was evaluated. The medial neurovascular bundle intersected the plate at its distal part in two specimens. Regarding the distances from the RN to the plate during different rotation positions the distances became significantly longer during ER, respectively shorter during IR. The medial neurovascular bundle and the RN were identified as the main structures at risk. Care must be taken during distal screw placement and malrotation exceeding 15° must be avoided during MIPO.

scholarly journals The modified anterolateral approach to the humerus

2019 ◽  
Vol 27 (3) ◽  
pp. 230949901986595
Author(s):  
Angela Christine Chang ◽  
Ngoc Buu Ha ◽  
Christopher Sagar ◽  
Gregory Ian Bain ◽  
Domenic Thomas Leonello
Keyword(s):  
Plate Osteosynthesis ◽  
Shaft Fracture ◽  
Humeral Shaft Fracture ◽  
Humeral Shaft ◽  
Muscle Fibres ◽  
Anterolateral Approach ◽  
Non Union ◽  
Small Series ◽  
Brachialis Muscle

Introduction: The anterior and anterolateral approaches to the humerus describe splitting brachialis longitudinally, assuming its fibres run parallel to the shaft. Recent improvements in the understanding of brachialis anatomy however have demonstrated it has two distinct heads, with the bulk of its fibres running oblique relative to the humerus. Attempting to split brachialis longitudinally to the extent required for plate osteosynthesis invariably leads to transection of a significant number of muscle fibres. The authors present a less muscle destructive modification to the anterolateral approach (ALA) based on a bicipital brachialis muscle. Method: In order to preserve brachialis muscle fibres, the modified ALA elevates the superficial head from the underlying humerus and longitudinally splits the deep head to allow a fixation device to be tunnelled. Case notes of patients with a humeral shaft fracture fixed via the modified ALA were retrospectively reviewed. Results: Ninteen humeral shaft fractures were fixed via the modified ALA. No post-operative nerve palsies were reported. Of the 19 patients, 14 (73.7%) received clinical and radiological follow-up. All reported being satisfied with their outcome. One developed a superficial wound infection and one (previous diagnosis of spondyloepiphyseal dysplasia tarda) developed a non-union requiring revision surgery. Of the five patients lost to follow-up, two died, and three reported no ongoing orthopaedic issues via telephone. Conclusions: Improved anatomical understanding of brachialis has resulted in the described modification to the ALA which is less muscle destructive and follows a truer inter-nervous plane. This small series demonstrates satisfactory outcomes using this approach.

Distal Tibia Metaphyseal Fractures Treated by Percutaneous Plate Osteosynthesis

2003 ◽  
Vol 408 ◽  
pp. 286-291 ◽  
Author(s):  
Chang-Wug Oh ◽  
Hee-Soo Kyung ◽  
Il-Hyung Park ◽  
Poong-Taek Kim ◽  
Joo-Chul Ihn
Keyword(s):  
Plate Osteosynthesis ◽  
Distal Tibia ◽  
Metaphyseal Fractures
Sign in / Sign up

Export Citation Format

Share Document