Skip to main content
Log in

Nail plate combination in the upper extremity: surgical technique and clinical application

  • Original Article
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Nail plate constructs (NPC) have shown promising results in complex lower extremity peri-articular fractures as well as in peri-prosthetic fractures. The combination of both implants allows for improved mechanical stability and immediate weight bearing. The use of NPC has not been described in the upper extremity in the literature. We herein describe potential indications and surgical technique for NPC usage for complex upper extremity trauma and reconstruction.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Rose SH, Melton LJ 3rd, Morrey BF, Ilstrup DM, Riggs BL (1982) Epidemiologic features of humeral fractures. Clin Orthop Relat Res 168:24–30

    Article  Google Scholar 

  2. Lauder A, Richard MJ (2020) Management of distal humerus fractures. Eur J Orthop Surg Traumatol. https://doi.org/10.1007/s00590-020-02626-1

    Article  PubMed  Google Scholar 

  3. Sayegh MJ, Nixon RA, Perfetti DC, Rokito SE, Sgaglione NA (2020) Changing trends in the management of proximal humerus fractures in New York State. J Orthop 21:127–130. https://doi.org/10.1016/j.jor.2020.03.001

    Article  PubMed  PubMed Central  Google Scholar 

  4. van de Wall BJM, Ochen Y, Beeres FJP, Babst R, Link BC, Heng M, van der Velde D, Knobe M, Groenwold RHH, Houwert MR (2020) Conservative vs. operative treatment for humeral shaft fractures: a meta-analysis and systematic review of randomized clinical trials and observational studies. J Shoulder Elbow Surg. 29(7):1493-1504

  5. Liporace FA, Yoon RS (2019) Nail plate combination technique for native and periprosthetic distal femur fractures. J Orthop Trauma 33(2):e64–e68. https://doi.org/10.1097/BOT.0000000000001332

    Article  PubMed  Google Scholar 

  6. Yoon RS, Bible J, Marcus MS, Donegan DJ, Bergmann KA, Siebler JC, Mir HR, Liporace FA (2015) Outcomes following combined intramedullary nail and plate fixation for complex tibia fractures: a multi-centre study. Injury 46(6):1097–1101. https://doi.org/10.1016/j.injury.2015.03.019

    Article  PubMed  Google Scholar 

  7. Yoon RS, Liporace FA (2016) Intramedullary nail and plate combination fixation for complex distal tibia fractures: when and how? J Orthop Trauma 30(Suppl 4):S17–S21. https://doi.org/10.1097/BOT.000000000000698

    Article  PubMed  Google Scholar 

  8. Yoon RS, Patel JN, Liporace FA (2019) Nail and plate combination fixation for periprosthetic and interprosthetic fractures. J Orthop Trauma 33(Suppl 6):S18–S20

    Article  Google Scholar 

  9. Eberle S, Gabel J, Hungerer S, Hoffmann S, Patzold R, Augat P, Buhren V (2012) Auxiliary locking plate improves fracture stability and healing in intertrochanteric fractures fixated by intramedullary nail. Clin Biomech (Bristol, Avon) 27(10):1006–1010. https://doi.org/10.1016/j.clinbiomech.2012.07.008

    Article  Google Scholar 

  10. Chen SH, Chiang MC, Hung CH, Lin SC, Chang HW (2014) Finite element comparison of retrograde intramedullary nailing and locking plate fixation with/without an intramedullary allograft for distal femur fracture following total knee arthroplasty. Knee 21(1):224–231. https://doi.org/10.1016/j.knee.2013.03.006

    Article  PubMed  Google Scholar 

  11. Basci O, Karakasli A, Kumtepe E, Guran O, Havitcioglu H (2015) Combination of anatomical locking plate and retrograde intramedullary nail in distal femoral fractures: comparison of mechanical stability. Eklem Hastalik Cerrahisi 26(1):21–26. https://doi.org/10.5606/ehc.2015.06

    Article  PubMed  Google Scholar 

  12. Fontenot PB, Diaz M, Stoops K, Barrick B, Santoni B, Mir H (2019) Supplementation of Lateral locked plating for distal femur fractures: a biomechanical study. J Orthop Trauma 33(12):642–648. https://doi.org/10.1097/BOT.0000000000001591

    Article  PubMed  Google Scholar 

  13. Wright DJ, DeSanto DJ, McGarry MH, Lee TQ, Scolaro JA (2020) Supplemental fixation of supracondylar distal femur fractures: a biomechanical comparison of dual-plate and plate-nail constructs. J Orthop Trauma. https://doi.org/10.1097/BOT.0000000000001749

    Article  PubMed  Google Scholar 

Download references

Funding

No sources of funding have been granted for this study.

Author information

Authors and Affiliations

Authors

Contributions

Authorship has been granted only to those individuals who have contributed substantially to the research or manuscript.

Corresponding author

Correspondence to Abhishek Ganta.

Ethics declarations

Conflict of interest

All authors declare that they have no conflicts of interest of interest related to the research or the manuscript.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Ganta, A., Wang, C., Konda, S.R. et al. Nail plate combination in the upper extremity: surgical technique and clinical application. Eur J Orthop Surg Traumatol 32, 443–448 (2022). https://doi.org/10.1007/s00590-021-02994-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-021-02994-2

Keywords

Navigation