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Minimally invasive plating for complex humeral shaft fractures

  • Trauma Surgery
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

The treatment for humeral shaft fracture is still controversial, especially for complex fractures. The purpose of this study was to evaluate the clinical and radiographic outcomes of treating complex humeral shaft fractures by using locking compression plate with minimally invasive technique.

Materials and methods

A total of 21 patients with 21 acute complex humeral shaft fractures (AO type C) were included in this study. All were treated with locking compression plate in a minimally invasive way. The average age of the patients was 42.9 years and there were 14 males and 7 females. Plain radiographs of humerus were used to assess bony union. Functional recovery of the shoulder joint was assessed using the Constant and HSS scoring systems.

Results

The patients were followed for a mean of 28.7 months (range 19–37). With one operation, nineteen fractures (90.4%) achieved a solid union in an average of 14.3 weeks. At final follow-up, 20 patients (95.2%) had satisfactory alignment, except for one associated with olecranon fracture, all patients had a good to excellent elbow function with a mean HSS score of 91.7 points. Eighteen patients (85.7%) achieved satisfactory shoulder function with a mean Constant score of 83.1 points. One superficial infection (4.8%) and two non-unions (9.6%) were found postoperatively.

Conclusions

It was concluded that use of a minimally invasive plate osteosynthesis with locking compression plate is a safe alternative way to classic surgical methods in the treatment of complex humeral shaft fractures, which had a high union rate with less risk of complications.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, Shanghai Sixth People’s Hospital Affiliated to Shanghai JiaoTong University, 600, YiShan Road, Shanghai, 200233, People’s Republic of China

    Rui Jiang, Cong-Feng Luo, Bing-Fang Zeng & Guo-Hua Mei

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  1. Rui Jiang
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  2. Cong-Feng Luo
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  3. Bing-Fang Zeng
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  4. Guo-Hua Mei
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Correspondence to Cong-Feng Luo.

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Jiang, R., Luo, CF., Zeng, BF. et al. Minimally invasive plating for complex humeral shaft fractures . Arch Orthop Trauma Surg 127, 531–535 (2007). https://doi.org/10.1007/s00402-007-0313-z

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  • DOI: https://doi.org/10.1007/s00402-007-0313-z

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