Skip Navigation
Skip to contents

J Musculoskelet Trauma : Journal of Musculoskeletal Trauma

OPEN ACCESS

Articles

Page Path
HOME > J Musculoskelet Trauma > Volume 21(3); 2008 > Article
Review Article
Humeral Shaft Fracture: Plating
YoungKyu Kim, M.D.
Journal of the Korean Fracture Society 2008;21(3):255-260.
DOI: https://doi.org/10.12671/jkfs.2008.21.3.255
Published online: July 31, 2008

Department of Orthopedic Surgery, Gil Medical Center, Gachon University, Inchon, Korea.

Address reprint requests to: YoungKyu Kim, M.D. Department of Orthopedic Surgery, Gil Medical Center, Gachon University, 1198, Guwol-dong, Namdong-gu, Inchon 405-760, Korea. Tel: 82-32-460-3384, Fax: 82-32-468-5437, kykhyr@gilhospital.com

Copyright © 2008 The Korean Fracture Society. All rights reserved.

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

  • 49 Views
  • 0 Download
prev next
  • 1. Bell MJ, Beauchamp CG, Kellam JK, McMurtry RY. The results of plating humeral shaft fractures in patients with multiple injuries. The sunnybrook experience. J Bone Joint Surg Br, 1985;67:293-296.ArticlePDF
  • 2. Bleeker WA, Nijsten MW, ten Duis HJ. Treatment of humeral shaft fractures related to associated injuries. A retrospective study of 237 patients. Acta Orthop Scand, 1991;62:148-153.Article
  • 3. Brien WW, Gellman H, Becker V, Garland DE, Waters DL, Wiss DA. Management of fractures of the humerus in patients who have an injury of the ipsilateral brachial plexus. J Bone Joint Surg Am, 1990;72:1208-1210.
  • 4. Cameron HU, Jacob R, Macnab I, Pilliar RM. Use of polymethylmethacrylate to enhance screw fixation in bone. J Bone Joint Surg Am, 1975;57:655-656.
  • 5. Changulani M, Jain UK, Keswani T. Comparison of the use of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. A randomised controlled study. Int Orthop, 2007;31:391-395.
  • 6. Chapman JR, Henley MB, Agel J, Benca PJ. Randomized prospective study of humeral shaft fracture fixation: intramedullary nails versus plates. J Orthop Trauma, 2000;14:162-166.
  • 7. Chiu FY, Chen CM, Lin CF, Lo WH, Huang YL, Chen TH. Closed humeral shaft fractures: a prospective evaluation of surgical treatment. J Trauma, 1997;43:947-951.
  • 8. Dabezies EJ, Banta CJ, Murphy CP, d'Ambrosia RD. Plate fixation of the humeral shaft for acute fracures, with and without radial nerve injuries. J Orthop Trauma, 1992;6:10-13.
  • 9. Ferragos AF, Schemitsch EH, Mckee MD. Complications of intramedullary nailing for fractures of the humeral shaft: a review. J Orthop Trauma, 1999;13:258-267.
  • 10. Foster RJ, Dixon GL Jr, Bach AW, Appleyard RW, Green TM. Internal fixation of fractures and non-unions of the humeral shaft. Indications and results in a multi-center study. J Bone Joint Surg Am, 1985;67:857-864.
  • 11. Jensen AT, Rasmussen S. Being overweight and multiple fractures are indications for operative treatment of humeral shaft fractures. Injury, 1995;26:263-264.
  • 12. Jupiter JB, von Deck M. Ununited humeral diaphyses. J Shoulder Elbow Surg, 1998;7:644-653.
  • 13. Liebergall M, Jaber S, Laster M, Abu-Snieneh K, Mattan Y, Segal D. Ender nailing of acute humeral shaft fractures in multiple injuries. Injury, 1997;28:577-580.
  • 14. Lin J. Treatment of humeral shaft fractures with humeral locked nail and comparison with plate fixation. J Trauma, 1998;44:859-864.
  • 15. Lin J, Inoue N, Valdevit A, Hang YS, Hou SM, Chao EY. Biomechanical comparison of antegrade and retrograde nailing of humeral shaft fracture. Clin Orthop Relat Res, 1998;351:203-213.
  • 16. McCormack RG, Brien D, Buckley RE, McKee MD, Powell J, Schemitsch EH. Fixation of fractures of the shaft of the humerus by dynamic compression plate or intramedullary nail. A prospective, randomised trial. J Bone Joint Surg Br, 2000;82:336-339.
  • 17. McKee MD, Miranda MA, Riemer BL, et al. Management of humeral nonunion after the failure of locking intramedullary nails. J Orthop Trauma, 1996;10:492-499.
  • 18. Modabber MR, Jupiter JB. Operative management of diaphyseal fractures of the humerus: plate versus nail. Clin Orthop Relat Res, 1998;347:93-104.
  • 19. Moran MC. Modified lateral approach to the distal humerus for internal fixation. Clin Orthop Relat Res, 1997;340:190-197.
  • 20. Müller ME, Perren SM, Allgöwer M. Manual of internal fixation: techniques recommended by the AO-ASIF group. 3rd ed. Berlin, Germany: Springer-Verlag; 1991. p. 442-445.
  • 21. Ring D, Kloen P, Kadzielski J, Helfet D, Jupiter JB. Locking compression plates for osteoporotic nonunions of the diaphyseal humerus. Clin Orthop Relat Res, 2004;425:50-54.
  • 22. Rosen H. The treatment of nonunions and pseudoarthrosis of the humeral shaft. Orthop Clin North Am, 1990;21:725-742.
  • 23. Sarmiento A, Waddell JP, Latta LL. Diaphyseal humeral fractures: treatment option. J Bone Joint Surg Am, 2001;83:1566-1579.
  • 24. Sarmiento A, Zagorski JB, Zych GA, Latta LL, Capps CA. Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Joint Surg Am, 2000;82:478-486.
  • 25. Tytherleigh-Strong G, Walls N, McQueen MM. The epidemiology of humeral shaft fractures. J Bone Joint Surg Br, 1998;80:249-253.
  • 26. Volgas DA, Stannard JP, Alonso JE. Nonunions of the humerus. Clin Orthop Relat Res, 2004;419:46-50.
Fig. 1

(A) Radiographs of 25-year-old male show a fracture with a butterfly fragment in the left distal 1/3 humerus.

(B) In postoperative radiograph, a good alignment and stability were achieved with 4.5-mm DCP plate and one lag screw.
(C) At 11 months after surgery, plate was removed. Radiograph shows good union.
jkfs-21-255-g001.jpg
Fig. 2

(A) Radiographs of 39-year-old female show a oblique fracture of the right humeral shaft.

(B) Fixation with 3.5-mm LC-DCP plate was done to the fracture site.
(C) At 11 weeks after osteosynthesis, bone union was obtained.
jkfs-21-255-g002.jpg
Fig. 3

(A) Radiographs of 17-year-old male show a oblique spiral fracture of the left distal 1/3 humerus with radial nerve palsy after close reduction.

(B) After exposing the fracture site through an anterolateral approach, fracture was reduced anatomically with lag-screw fixation, followed by plate fixation.
(C) Postoperatively, a good alignment was achieved.
jkfs-21-255-g003.jpg
Fig. 4

(A) Radiographs of 21-year-old male show an open comminuted fracture of the left humeral shaft.

(B) After debridement, fixation with 4.5-mm DCP plate and one interfragmentary lag screw was done.
(C) At 12 months after surgery, plate was removed. Radiograph shows good union.
jkfs-21-255-g004.jpg
Fig. 5

(A) Radiographs of 62-year-old male show a nonunion with the metal breakage.

(B) After resection of margin, 4.5-mm LC-DCP plate was applied.
(C) At 2 month after surgery, bone union was achieved.
jkfs-21-255-g005.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  

      • Cite
        CITE
        export Copy Download
        Close
        Download Citation
        Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.

        Format:
        • RIS — For EndNote, ProCite, RefWorks, and most other reference management software
        • BibTeX — For JabRef, BibDesk, and other BibTeX-specific software
        Include:
        • Citation for the content below
        Humeral Shaft Fracture: Plating
        J Korean Fract Soc. 2008;21(3):255-260.   Published online July 31, 2008
        Close
      • XML DownloadXML Download
      Figure
      • 0
      • 1
      • 2
      • 3
      • 4
      We recommend
      Humeral Shaft Fracture: Plating
      Image Image Image Image Image
      Fig. 1 (A) Radiographs of 25-year-old male show a fracture with a butterfly fragment in the left distal 1/3 humerus. (B) In postoperative radiograph, a good alignment and stability were achieved with 4.5-mm DCP plate and one lag screw. (C) At 11 months after surgery, plate was removed. Radiograph shows good union.
      Fig. 2 (A) Radiographs of 39-year-old female show a oblique fracture of the right humeral shaft. (B) Fixation with 3.5-mm LC-DCP plate was done to the fracture site. (C) At 11 weeks after osteosynthesis, bone union was obtained.
      Fig. 3 (A) Radiographs of 17-year-old male show a oblique spiral fracture of the left distal 1/3 humerus with radial nerve palsy after close reduction. (B) After exposing the fracture site through an anterolateral approach, fracture was reduced anatomically with lag-screw fixation, followed by plate fixation. (C) Postoperatively, a good alignment was achieved.
      Fig. 4 (A) Radiographs of 21-year-old male show an open comminuted fracture of the left humeral shaft. (B) After debridement, fixation with 4.5-mm DCP plate and one interfragmentary lag screw was done. (C) At 12 months after surgery, plate was removed. Radiograph shows good union.
      Fig. 5 (A) Radiographs of 62-year-old male show a nonunion with the metal breakage. (B) After resection of margin, 4.5-mm LC-DCP plate was applied. (C) At 2 month after surgery, bone union was achieved.
      Humeral Shaft Fracture: Plating

      J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
      Close layer
      TOP