Adjunct fixation in upper extremity long bone fracture plating.


Journal

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037

Informations de publication

Date de publication:
Dec 2023
Historique:
received: 23 12 2022
accepted: 11 06 2023
medline: 16 11 2023
pubmed: 17 6 2023
entrez: 17 6 2023
Statut: ppublish

Résumé

A variety of adjunct fixation methods to supplement primary plate and screw constructs are available. There are no large clinical series of these techniques in the upper extremity. The purpose of this study was to review patients with upper extremity fractures that underwent primary plating with adjunct fixation. This study was a retrospective review of plate fixation of humeral, radial and ulnar fractures over a 12-year period. Measurable outcomes for this study included rates of non-union, complications, and implant removal. Thirty-nine humeral shaft fractures had supplemental fixation 97% of the time, with a 100% union rate. Supplemental fixation was used in 79% of forearm cases. There was a 98% initial union rate in 48 acutely plated forearm fractures. Although a variety of techniques were employed, the mini-fragment (2.7 mm or smaller) was the most common strategy for adjunctive fixation of long bone fractures in the upper extremity.

Identifiants

pubmed: 37329455
doi: 10.1007/s00590-023-03619-6
pii: 10.1007/s00590-023-03619-6
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

3717-3722

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.

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Auteurs

Gregory M Georgiadis (GM)

Department of Orthopaedic Surgery, Section of Orthopaedic Trauma, ProMedica Toledo Hospital, 2121 Hughes Drive, Toledo, OH, 43606, USA. gregory.georgiadismd@promedica.org.

Omar Khan (O)

Xavier University, Cincinnati, OH, USA.

Roberta E Redfern (RE)

Research Department, ProMedica Toledo Hospital, Toledo, OH, USA.

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