The Use of Pre-contoured Plates in the Treatment of C2-C3 Fractures of the Distal Humerus: Clinical Experience

Overview

Journal Chir Organi Mov

Publisher Springer

Specialty Orthopedics

Date 2008 Mar 6

PMID 18320375

Citations 9

Authors

Andrea Celli

Maria Teresa Donini

Claudio Minervini

Affiliations

Soon will be listed here.

Abstract

Open reduction and internal fixation is the treatment of choice in distal humerus fractures. The aims of the treatment are to obtain anatomic reconstruction and restoration of the elbow's geometry followed by stable internal fixation that allows immediate rehabilitation. The plates are pre-contoured to fit the natural anatomy of the elbow and in the case of complex fractures they provide a guide for the anatomic restoration of the distal humerus. The two plates are placed parallel with the screws locked together by interdigitation creating a fixed angle in the distal fragments that provides stability to the entire distal humerus. Using this method we obtained good results according to the Mayo Elbow Performance Score (MEPS) and we are able to reduce the incidence of complications. Our experience shows also that it can be useful to obtain an anatomical reduction of distal humeral fractures using the pre-contoured plates in a parallel position recovering the anatomical antiversion of the articular surface.

Citing Articles

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Ultrasound-guided preoperative localization of radial nerve in the treatment of extra-articular distal humeral shaft fractures.

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Midterm clinical and radiological outcomes of the surgical treatment of complex AO type C distal humeral fractures with two different double plate fixation techniques.

Ditsios K, Stavridis S, Savvidis P, Dinopoulos H, Petsatodis G Hippokratia. 2018; 21(1):38-42.

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Parallel versus orthogonal plate osteosynthesis of adult distal humerus fractures: a meta-analysis of biomechanical studies.

Shih C, Su W, Lin W, Tai T Int Orthop. 2018; 43(2):449-460.

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Biomechanical comparison of anatomical plating systems for comminuted distal humeral fractures.

Varady P, von Ruden C, Greinwald M, Hungerer S, Patzold R, Augat P Int Orthop. 2017; 41(9):1709-1714.

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