The Advantages of Humeral Anteromedial Plate Osteosynthesis in the Middle Third Shaft Fractures

Overview

Journal Wien Klin Wochenschr

Publisher Springer

Specialty General Medicine

Date 2011 Feb 3

PMID 21287282

Citations 6

Authors

Ivan Kirin

Davor Jurisic

Damir Grebic

Sergej Nadalin

Affiliations

Soon will be listed here.

Abstract

Background: Humeral shaft fractures account for 1.2% of all fractures and occur in a slightly younger population. Their causes include a fall from standing or from height, motor vehicle accident, but can be also pathological. In order to clarify which of both surgeries we performed in our Department for treating humeral shaft fractures had more advantages (anterolateral or anteromedial plating through anterolateral approach) we analyzed incidence of postoperative iatrogenic radial palsies and mean operation time required to complete each surgery.

Methods: During January 1992 to December 2009 on Department of Surgery, Division for Traumatology of Clinical Hospital Center Rijeka, 420 patients (340 males and 80 females with mean age of 38.11 ± 9.29 years) were treated for middle third humeral shaft fracture by anterolateral approach and internal fixation using AO/DCP or LCP plates that was positioned on anteromedial humeral surface in 141 patients (33.57%) and on anterolateral humeral surface in 279 patients (66.43%).

Results: None of the patients who had osteosynthesis by using plate on anteromedial humeral sufrace had lesions of the radial nerve. Therefore, χ(2) test revealed significantly higher frequency of postsurgical radial nerve injuries in patients who were treated by anterolateral plating than in patients where anteromedial plating was performed (χ(2) = 17.51; p< 0.05). Anterolateral plating required longer mean operation time than anteromedial plating and the difference in its duration determined by t-test for independent samples showed statistically significant difference (t= 14.57; p< 0.05).

Conclusion: An anteromedial plating of humeral shaft fractures through anterolateral approach was determinated to be a simple, safe, effective and also fast surgical treatment and we highly recommend it as operative technique for treating humeral shaft fractures.

Citing Articles

The effect of plate location on radial nerve palsy recovery time associated with humeral shaft fractures.

Gunsoy Z, Sayer G, Dinc M, Soydemir O, Oguzkaya S Eur J Trauma Emerg Surg. 2024; 50(6):2855-2860.

PMID: 39008113 DOI: 10.1007/s00068-024-02524-9.

A Comparison of Anteromedial Plating Versus Anterolateral Plating for Humerus Shaft Fractures Using the Anterolateral Approach.

Gangwar V, Goel N, Dua A, Dhankhar V, Mathur M, Rajpal K Cureus. 2024; 16(3):e57235.

PMID: 38686267 PMC: 11056766. DOI: 10.7759/cureus.57235.

Anterolateral versus anteromedial plate osteosynthesis of midshaft humeral fractures; is there a difference in the rates of iatrogenic radial nerve palsy?.

Shodipo O, Ibrahim S, Ajiboye L, Arojuraye S, Ramat A, Jatto H Eur J Trauma Emerg Surg. 2024; 50(4):1727-1731.

PMID: 38602540 DOI: 10.1007/s00068-024-02525-8.

Humeral shaft fracture: systematic review of non-operative and operative treatment.

Van Bergen S, Mahabier K, Van Lieshout E, Van der Torre T, Notenboom C, Jawahier P Arch Orthop Trauma Surg. 2023; 143(8):5035-5054.

PMID: 37093269 PMC: 10374687. DOI: 10.1007/s00402-023-04836-8.

Anteromedial Surface Plating for Midshaft Fracture Humerus Through an Anterolateral Approach - A Better Option than Anterolateral Plating.

Rai S, Sud A, Kashid M, Gogoi B Malays Orthop J. 2021; 14(3):66-72.

PMID: 33403064 PMC: 7751990. DOI: 10.5704/MOJ.2011.011.

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