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Anterior minimally invasive plating osteosynthesis using reversed proximal humeral internal locking system plate for distal humeral shaft fractures

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Objective

To describe the surgical application of anterior minimally invasive plating osteosynthesis (MIPO) using reversed proximal humerus internal locking system (PHILOS) plate for multifragmentary distal humeral shaft fractures.

Methods

Twelve patients with distal humeral shaft fractures (type 12B, n = 6 and type 12C, n = 6) were operated on by anterior MIPO and reversed PHILOS plate fixation. The amount of intact bone in the distal fragment was measured by fracture-to-coronoid distance (FCD). Data of the postoperative alignment, complications, union time, and clinical outcomes were collected.

Results

The mean time for fractures to unite in all patients was 14.8 weeks (range 12–22). There was no perioperative complication. The mean FCD was 4.8 cm (range 2.1–8.1). The mean coronal angulation was 3.4° (range 0–9), and the mean sagittal angulation was 1° (range 0–5). All patients had excellent UCLA shoulder score and MEP score results, and the mean range of elbow motion was 140° (range 130–145).

Conclusion

Anterior MIPO using reversed PHILOS plate is safe and effective for multifragmentary fractures of the distal humeral shaft even in a fracture with a length of intact bone above the coronoid fossa of only 2 cm.

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Authors and Affiliations

Authors

Contributions

SJ was involved in drafting and revising the manuscript for content, including medical writing for content, study concept and design, analysis, and interpretation of data, as well as acquisition of the data. AG, NN, and WT were involved in revising the manuscript for content and analysis and interpretation of data.

Corresponding author

Correspondence to Surasak Jitprapaikulsarn.

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Conflict of interest

S. Jitprapaikulsarn, N. Neti, W. Thremthakanpon and A. Gromprasit declare that they have no conflict of interest.

Ethical approval

This study has been approved by the ethical committees of Buddhachinaraj Hospital in accordance with the Declaration of Helsinki.

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Jitprapaikulsarn, S., Neti, N., Thremthakanpon, W. et al. Anterior minimally invasive plating osteosynthesis using reversed proximal humeral internal locking system plate for distal humeral shaft fractures. Eur J Orthop Surg Traumatol 30, 1515–1521 (2020). https://doi.org/10.1007/s00590-020-02708-0

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  • DOI: https://doi.org/10.1007/s00590-020-02708-0

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