Plate fixation for management of humerus fractures

被引:37
作者
Nowak, Lauren L. [1 ]
Dehghan, Niloofar [2 ]
McKee, Michael D. [3 ]
Schemitsch, Emil H. [4 ]
机构
[1] Univ Toronto, Inst Med Sci, Fac Med, 55 Queen St East,STE 800, Toronto, ON M5C 1R, Canada
[2] Banner Univ, Med Ctr, CORE Inst, Phoenix, AZ USA
[3] Univ Arizona, Coll Med, Dept Orthopaed Surg, Phoenix, AZ USA
[4] Western Univ, Dept Surg, Div Orthopaed, London, ON, Canada
来源
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED | 2018年 / 49卷
关键词
Humeral fractures; Plate fixation; Open reduction internal fixation; Proximal humerus fixation; Distal humerus fixation; Humeral shaft fixation; REFLECTING ANCONEUS PEDICLE; DISTAL HUMERUS; PROXIMAL HUMERUS; SHAFT FRACTURES; INTERCONDYLAR FRACTURES; OLECRANON OSTEOTOMY; INTERNAL-FIXATION; RISK-FACTORS; BIOMECHANICAL EVALUATION; SURGICAL FIXATION;
D O I
10.1016/S0020-1383(18)30300-0
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Proximal humerus, humeral shaft, and distal humerus fractures are all common adult fractures, and often occur in older patients. While the treatment of proximal humerus fractures remains controversial, certain fractures benefit from plate fixation such as fracture-dislocations and head-split fractures. When plate fixation is chosen, anatomic reduction and restoration of the medial calcar are important for successful results. Further research is required to minimize complications and determine the optimal surgical candidates for plate fixation. Humeral shaft fractures are generally treated non-operatively. However, certain shaft fractures warrant plate fixation, such as open fractures, those with associated forearm fractures, and those in poly-trauma patients. Choice of surgical approach and plate depends on the location and type of the fracture. The majority of intra-articular distal humerus fractures should be treated with plate fixation. Dual plating is generally accepted as the gold standard treatment, while the optimal surgical approach and plate configuration requires more research. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:S33 / S38
页数:6
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