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Helical plate fixation for treatment of comminuted fractures of the proximal and middle one-third of the humerus

Authors
 Kyu Hyun Yang 
Citation
 INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, Vol.36(1) : 75-80, 2005 
Journal Title
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
ISSN
 0020-1383 
Issue Date
2005
MeSH
Adult ; Bone Plates* ; Equipment Design ; Female ; Fracture Fixation, Internal/methods* ; Fracture Healing/physiology ; Fractures, Comminuted/diagnostic imaging ; Fractures, Comminuted/physiopathology ; Fractures, Comminuted/surgery* ; Humans ; Humeral Fractures/diagnostic imaging ; Humeral Fractures/physiopathology ; Humeral Fractures/surgery* ; Male ; Middle Aged ; Radiography ; Shoulder Joint/physiopathology ; Treatment Outcome
Keywords
Humerus ; Fracture ; Internal fixation ; Helical plate
Abstract
When an operative treatment is indicated for comminuted fractures of the proximal and middle one-third of the humerus, plate fixation is one of the better options. However, a long plate must be applied from the lateral aspect of the greater tuberosity to the shaft of the humerus, which requires dissection of the deltoid muscle insertion. We twisted the long plate and fixed it from the lateral aspect of the greater tuberosity to the anterior or antero-medial aspect of the mid or the distal shaft of the humerus preserving the deltoid muscle insertion in nine patients (10 limbs). Eight out of 10 cases involved comminuted segmental fractures of the proximal humeral shaft, the surgical neck, and the greater tuberosity. Tricortical autoiliac bone graft was necessary in two patients to restore the neck-shaft angle. All fractures healed uneventfully at 19 weeks on average without additional procedure (range: 14–28 weeks). Shoulder function was evaluated according to Neer’s criteria. Three patients were classified as excellent, five satisfactory, and as two unsatisfactory, there was no failure.
Full Text
http://www.sciencedirect.com/science/article/pii/S0020138304001196
DOI
10.1016/j.injury.2004.03.023
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/147577
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