Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating
https://doi.org/10.5704/MOJ.2011.011
- Author:
Rai SK
1
;
Sud AD
2
;
Kashid M
3
;
Gogoi B
4
Author Information
1. Department of Orthopaedics, Indian Naval Hospital Ship Asvini, Mumbai, India
2. Department of Orthopaedics, Armed Forces Medical College, Pune, India
3. Department of Orthopaedics, SMBT Institute of Medical Sciences and Research Centre, Nashik, India
4. Department of Orthopaedics, 151 Base Hospital, Guwahati, India
- Publication Type:Journal Article
- Keywords:
medial surface plating, humerus shaft fractures, anterolateral approach, radial nerve palsy
- From:Malaysian Orthopaedic Journal
2020;14(No.3):66-72
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Osteosynthesis by plate fixation of humeral
shaft fractures as a gold standard for fracture fixation has
been proven beyond doubt. However, during conventional
anterolateral plating Radial nerve injury may occur which
can be avoided by applying plate on the medial flat surface.
The aim of this study was to evaluate the results of
application of plate on the flat medial surface of humerus
rather than the conventional anterolateral surface.
Materials and Methods: This study was conducted between
Oct 2010 to Dec 2015. One-hundred-fifty fracture shafts of
the humerus were treated with the anteromedial plating
through the anterolateral approach.
Results: One-hundred-fifty patients with a fracture shaft of
the humerus were treated with anteromedial plating. Twenty
were female (mean ±SD,28 years±4.5) and 130 were male
(mean ± SD, 38 years±5.6). One hundred and forty-eight out
of 150 (98.6%) patients achieved union at 12 months. Two of
three patients developed a superficial infection, both of
which were treated successfully by antibiotics and one
developed a deep infection, which was treated by wound
debridement, prolonged antibiotics with the removal of the
plate and subsequently by delayed plating and bone grafting.
Conclusion: In the present study, we applied plate on the
anteromedial flat surface of humerus using the anterolateral
approach. It is an easier and quicker fixation as compared to
anterolateral plating because later involved much more
dissection than a medial application of the plate and this
application of plate on a medial flat surface, does not
required Radial nerve exposure and palsy post-operatively.
The significant improvement in elbow flexion without
brachialis dissection is also a potential benefit of this
approach. Based on our results, we recommend the
application of an anteromedial plate for treatment of
midshaft fractures humerus.
- Full text:16.2020my1112.pdf
