Plate osteosynthesis of humeral shaft fractures is an established surgical procedure. Iatrogenic radial nerve palsy appears to be common complication in treating these fractures. A case series of 20 fracture shafts of humerus were treated with anteromedial plating through anterolateral approach. There was no radial nerve palsy in any of the cases and all achieved fracture union.
References
[1]
Hee, H.T., Low, B.Y. and See, H.F. (1998) Surgical Results of Open Reduction and Plating of Humeral Shaft Fractures. Annals of the Academy of Medicine, Singapore, 27, 772-775.
[2]
Livani, B., Belangero, W., Medina, G., Pimenta, C., Zogaib, R. and Mongon, M. (2010) Anterior Plating as a Surgical Alternative in the Treatment of Humeral Shaft Non-Union. International Orthopaedics, 34, 1025-1031. http://dx.doi.org/10.1007/s00264-009-0863-5
[3]
Denies, E., Nijs, S., Sermon, A. and Broos, P. (2010) Operative Treatment of Humeral Shaft Fractures. Comparison of Plating and Intramedullary Nailing. Acta Orthopaedica Belgica, 76, 735-742.
[4]
Boschi, V., Pogorelic, Z., Gulan, G., Vilovic, K., Stalekar, H., Bilan, K. and Grandic, L. (2013) Subbrachial Approach to Humeral Shaft Fractures: New Surgical Technique and Retrospective Case Series Study. Canadian Journal of Surgery, 56, 27-34. http://dx.doi.org/10.1503/cjs.011911
[5]
Martinez, A.A., Cuenca, J. and Herrera, A. (2009) Two-Plate Fixation for Humeral Shaft Non-Unions. Journal of Orthopaedic Surgery (Hong Kong), 17, 135-138.
[6]
Kirin, I., Jurisic, D., Grebic, D. and Nadalin, S. (2011) The Advantages of Humeral Anteromedial Plate Osteosynthesis in the Middle Third Shaft Fractures. Wien Klin Wochenschr, 123, 83-87. http://dx.doi.org/10.1007/s00508-010-1523-x
[7]
Oh, C.W., Byun, Y.S., Oh, J.K., Kim, J.J., Jeon, I.H., Lee, J.H. and Park, K.H. (2012) Plating of Humeral Shaft Fractures: Comparison of Standard Conventional Plating versus Minimally Invasive Plating. Orthopaedics & Traumatology: Surgery & Research, 98, 54-60. http://dx.doi.org/10.1016/j.otsr.2011.09.016
[8]
Belangero, W.D., Concha, J.M. and Livani, B. (2008) Minimally Invasive Plate Osteosynthesis of the Humeral Shaft. https://www.aofoundation.org/Documents/10_mipohumeralshaft.PDF
Luthar, M. and Verma, M. (2015) Role of Minimal Invasive Plate Osteosynthesis in Complex Humeral Shaft Fractures. IOSR Journal of Dental and Medical Sciences, 14, 68-71.
