PLATE OSTEOSYNTHESIS OF DISTAL HUMERAL SHAFT FRACTURES

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Abstract

On the basis of three-dimensional analysis of the humerus bones was shown that the plate, placed on posterior-and-medial surface of the lower section of these bones, should be twisted in terminal portions and bended on both ends in the contact surface direction and should have an intermediate untwist sector. The results among 31 operatively treated patients with 32 distal third diaphyseal fractures of the humerus were analyzed. Was stated that the modified osteosynthesis of distal third diaphyseal fractures of the humerus associates with lower risk of iatrogenic damage it, provides fixation stability and significantly better outcomes (Students criterion – 2,7), which allows to use that method of internal fixation in cases where the performance of intramedullary nailig is not possible.

About the authors

I. I. Litvinov

ГОУ ВПО «Ярославская государственная медицинская академия» Минздравсоцразвития России

Author for correspondence.
Email: litorthorus@rambler.ru
д.м.н., профессор кафедры травматологии, ортопедии и ВПХ Russian Federation

V. V. Klyuchevsky

ГОУ ВПО «Ярославская государственная медицинская академия» Минздравсоцразвития России

Email: fake@neicon.ru
д.м.н., профессор, заведующий кафедрой травматологии, ортопедии и ВПХ Russian Federation

A. A. Ryzhkin

ГОУ ВПО «Ярославская государственная медицинская академия» Минздравсоцразвития России

Email: fake@neicon.ru
ассистент кафедры хирургических болезней педиатрического факультета Russian Federation

References

  1. Bell, M.J. The results of plating humeral shaft fractures in patients with multiple injuries: the Sunnybrook experience / M.J. Bell, C.G. Beauchamp, J.K. Kellam, R.Y. McMurty // J. Bone Joint Surg. – 1985. – Vol. 67-B. – P. 293–296.
  2. Constant, C.R. A clinical method of functional assessment of the shoulder / C.R. Constant, A.H. Murley // Clin. Orthop. – 1987. – N 214. – P. 160–164.
  3. Jawa, A. Extra-articular distal-third diaphyseal fractures of the humerus. A comparison of functional bracing and plate fixation / A. Jawa [et al.] // J. Bone Joint Surg. – 2006. – Vol. 88-A, N 11. – P. 2343–2347.
  4. Ruedi, T.P. AO Principles of fracture management / T.P. Ruedi, W.M. Murphy. –Stuttgart ; New York : Thieme, 2000.

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