Gu-Hee Jung; Chyul-Hyun Cho; Jae-Do Kim

doi:10.12671/jkfs.2011.24.1.83

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Surgical Technique
Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader: Surgical Technique: Gu-Hee Jung, M.D., Chyul-Hyun Cho, M.D., Jae-Do Kim, M.D.; Journal of the Korean Fracture Society 2011;24(1):83-86.
DOI: https://doi.org/10.12671/jkfs.2011.24.1.83
Published online: January 21, 2011

Department of Orthopedic Surgery, Kosin University College fo Medicine, Busan, Korea.

^*Department of Orthopedic Surgery, School of Medicine, Keimyung University, Daegu, Korea.

Address reprint requests to: Gu-Hee Jung, M.D. Department of Orthopaedic Surgery, Gospel Hospital, Kosin University College of Medicine, 34, Amnam-dong, Seo-gu, Busan 602-702, Korea. Tel: 82-51-990-6130·Fax: 82-51-243-0181, jyujin2001@kosin.ac.kr

• Received: September 3, 2010 • Revised: September 29, 2010 • Accepted: October 25, 2010

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Abstract
REFERENCES

Abstract

The minimally invasive plate osteosynthesis (MIPO) which is extensively performed, is very dependent on the indirect reduction technique to prevent the exposure of fracture sites. Indirect reduction with the use of the femoral distractor is a much more efficient technique to restore the length in the fracture of lower limbs. However, the femoral distractor cannot be used for fracture of upper limbs, and other instruments for indirect reduction have not yet been reported. Therefore, we introduce the novel indirect reduction technique with the use of the lumbar spreader for the MIPO of upper limbs.
Key words: Upper extremity, Fracture, Minimally invasive plate osteosynthesis, lumbar spreader, Indirect reduction technique

REFERENCES

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Fig. 1

The lumbar spread is placed between plate and screw to widen the interval.

Fig. 2

(A) Under the fluoroscopic guide, the plate is inserted percutanously and identified the overlapped the bone fragments.

(B) The traction is applied using the lumbar spread and the humeral length is restored.

Fig. 3

(A) Indirect reduction of the humeral fracture is achieved by distractive technique with lumbar spread.

(B) Radiographs at 5 weeks post-operatively show callus formation and (C) radiographs at 15 weeks, the radiological union.

Figure & Data

REFERENCES

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Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader: Surgical Technique

J Korean Fract Soc. 2011;24(1):83-86. Published online January 31, 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.1.83

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Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader: Surgical Technique

Fig. 1 The lumbar spread is placed between plate and screw to widen the interval.

Fig. 2 (A) Under the fluoroscopic guide, the plate is inserted percutanously and identified the overlapped the bone fragments. (B) The traction is applied using the lumbar spread and the humeral length is restored.

Fig. 3 (A) Indirect reduction of the humeral fracture is achieved by distractive technique with lumbar spread. (B) Radiographs at 5 weeks post-operatively show callus formation and (C) radiographs at 15 weeks, the radiological union.

Fig. 1

Fig. 2

Fig. 3

Minimally Invasive Plate Osteosynthesis for the Upper Extremity Fracture Using a Lumbar Spreader: Surgical Technique