Distal humerus fractures - adult
|
|
|
- Dayna Phillips
- 5 years ago
- Views:
Transcription
1 Topic 2: Fractures around the elbow Distal humerus fractures - adult Prof. Dr. Andreas Platz Klinik für Allgemein-, Hand- und Unfallchirurgie Stadtspital Triemli, Zürich
2 Agenda 1. Epidemiology 2. Classifica4on 3. Basics of osteosynthesis 4. Outcome 5. Ques4ons 6. Summary
3 Epidemiology fractures of the distal humerus Rare fracture : 5/ /J 2-6% of all fractures, 30% of all fractures around elbow 2 peaks o 12-19j: m>f; high energy o >65j: m<f; low energy In the future increased incidence due to increased popula4on at risk
4 ClassificaLon (AO) C 37%, 0 B 24% A 38% [ 2 Robinson C M et al. Adult distal humeral metaphyseal fractures: epdemiology and results of treatment J Orthop Trauma 2003; 17: 38-47
5 Goal of treatment Reconstruc4on of the joint Golden arc of mo4on F/E: 130/30/0 No pain Good func4on (adapted to the demands of the pa4ent) Lill H, Korner J, Josten C. Distale Humerusfrakturen.. In: Josten C, Lill H, Hrsg. Ellenbogenverletzungen.. Steinkopf Verlag; 2002:
6 Therapy Conserva4ve treatment: n = 70 pa4ents Age > 75 y Risk of inacceptable result 3x higher Pseudarthrosis 6 x higher Nauth A, Mckee MD, Ristevski B et al Distal humeral fractures in adults. J Bone Joint Surg Am (2011) 93:
7 Basics of osteosynthesis Prone posi4on PosiLon and Approach - dorsal: Standardapproach
8 Approach lateral medial triceps-on tricepselevating Chevron
9 Approach Extensor Mechanism On Osteotomy J.M. Erpelding et al.:outcomes Following Distal Humeral Fracture Fixa4on with an Extensor Mechanism-On Approach; JBJS Am 2012
10 Therapy Geriatric pa4ents with healed fracture aker osteosynthesis have similar results compared with 1 prosthesis Recommenda4ons of authors: Treatment according to the experience of the surgeon Obremskey WT, Bhandari M, Dirschl DR et al. Internal fixa4on versus arthroplasty of comminuted fractures of the distal humerus. J Orthop Trauma (2003) 17:
11 IntraarLcular Fracture 13C 1. Reconstruc4on joint - ev. on table - Reconstruc4on 2. Osteosynthesis of radial and ulnar column with 2 plates
12 Plates NO 1/3 tubular plates! Standard: 3.5mm-Reconstruc4on plate LCP 3.5mm precontoured plate - Good stability in multyfragmentary Fx and poor bone quality - Good fixa4on distal (smaller screws) Korner J, Lill H, Muller L P et al. Distal humerus fractures in elderly pa4ents: results aker open reduc4on and internal fixa4on. Osteoporos Int 2005; 16 (Suppl. 2): S73-S79
13 J Orthop Trauma Volume 18, Number 5, May/June 2004
14 PosiLoning of the plates Significant higher s4ffness in group 4-50% higher than group 1 Conclusion: " The biomechanical behavior of the osteosynthesis depends more on plate configuralon than plate type Nevertheless, locking compression plates are helpful tools for achieving primary stable fracture fixa4on "
15 Implants Indica4on for elbow-prosthesis - High compliance - Low func4onal demand - Age > 65J - Osteoporosis - Rheumatoid arthri4s - Limita4ons of ROM - Mul4fragmentary fracture, not amendable for stable reconstruc4on Müller L P, Dietz S-O, Rommens P M et al. Total elbow replacement as primary treatment for complex fractures of the distal osteopenic humerus. European J Trauma 2003; 29: 63-67
16 70 y, m, Tennis
17
18 postop Jahr postop
19 ComplicaLons Failure of osteosynthesis % Non union 5.4% Lesion N. ulnaris up to 16% Postopera4ve Infec4on 5 10% Heterotopic Ossifica4on up to 40% Schmidt-Horlohe K, Bonk A, Wilde P et al. Func4onal results aker osteosynthesis of the distal humerus fracture with an anatomically precontoured, angularstable double plate system. Z Orthop Unfall 2010; 148: Vazquez O, Rutgers M, Ring D C et al. Fate of the ulnar nerve aker opera4ve fixa4on of distal humerus fractures. J Orthop Trauma 2010; 24: Chen R C, Harris D J, Leduc S et al. Is ulnar nerve transposi4on beneficial during open reduc4on internal fixa4on of distal humerus fractures?. J Orthop Trauma 2010; 24:
20 Outcome Osteosynthesis n = 150 pa4ents (73.3 y) 97 / 150 pa4ents (64.6 %) MEPS: excellent / good result MEPS points 45 / 150 pa4ents with complica4ons (30%) [1] Dietz SO., Nowak TE, Burkhart KJ, Müller LP, Rommens PM: Distale Humerusfraktur beim älteren Menschen Unfallchirurg(2011) 114:
21 Outcome TEA n = 203 pa4ents (72.9 y) 193 / 203 pa4ents (95.1 %) MEPS: excellent / good result MEPS 91.2 points 61/ 203 pa4ents with complica4ons (30.1 %) Dietz SO., Nowak TE, Burkhart KJ, Müller LP, Rommens PM: Distale Humerusfraktur beim älteren Menschen Unfallchirurg(2011) 114:
22
23 QuesLons Why is > 65 y a criteria for 1 prosthesis?... not amenable to stable fixa4on... What about the surgeon s experience?
24 QuesLons Why is > 65 y a criteria for 1 prosthesis? o 2nd peak Acute distal humeral fractures Nonrheumatoid pa4ents > 75 y Rheumatoid disease any age Reduced life expectancy any age Pathological bone any age Degenera4ve elbow disease > 60 y - 75 y instead of 65 y - no remark concerning multyfragmentary fx as indica4on Outside of these indica4ons...tea is contra-indicated... Ali A, Shahane S, Stanley D Total elbow arthroplasty for distal humeral fractures: indica4ons, surgical approach, technical 4ps, and outcome. J Shoulder Elbow Surg (2010) 19:53 58
25 QuesLons... not amenable to stable fixa4on... What about the surgeon s experience? 90 y, f, lives in own flat, 3x Spitex / week 3 mt aker OP, removal of K-wire, no pain, F/E 120/20/0
26 QuesLons 86 y, f, lives in own flat Wrong decisions: OP: Yes / No Approach: + or Osteotomy
27 QuesLons What about the surgeon s experience?
28 Kommentar im Austri~sbericht:...whs wird im Verlauf eine Re-OP nö4g, ggf Versorgung mit einer Endoprothese...
29
30 Summary /RecommendaLons Geriatric pa4ents with healed fracture aker osteosynthesis have similar results compared with 1 prosthesis Obremskey WT, Bhandari M, Dirschl DR et al. Internal fixa4on versus arthroplasty of comminuted fractures of the distal humerus. J Orthop Trauma (2003) 17: Recommenda4ons of authors: Women >65 y with osteoporosis, steroids, C 2 1 Elbow-Prosthesis Frankle MA, Herscovici D, Dipasquale TG et al A comparison of open reduc4on and internal fixa4on and primary total elbow arthroplasty in the treatment of intraar4cular distal humerus fractures in women older than age 65. J Orthop Trauma (2003) 17:
31 Summary /RecommendaLons A U T H O R S C O N C L U S I O N S Implica4ons for prac4ce Overall, this review found there is either no or insufficient evidence from randomised or quasi-randomised controlled trials to determine whether surgery is, and which surgical interven4ons are, the most appropriate for the management of different types of distal humerus fractures. Wang Y, Zhuo Q, Tang P, Yang W. Surgical interven4ons for trea4ng distal humeral fractures in adults. Cochrane Database of SystemaLc Reviews 2013, Issue 1. Art. No.: CD
32 Summary /RecommendaLons? Experience of the surgeon!!! Dietz SO., Nowak TE, Burkhart KJ, Müller LP, Rommens PM Distale Humerusfraktur beim älteren Menschen Unfallchirurg(2011) 114:
DISTAL HUMERUS FRACTURES WHAT I HAVE LEARNED DISTAL HUMERUS FRACTURES WHAT I HAVE LEARNED 63 YO WOMAN CT FIXABLE OSTEOTOMY NOT NEEDED
AMERICAN SHOULDER AND ELBOW SURGEONS ORTHOPAEDIC TRAUMA ASSOCIATION SPECIALTY DAY SAN DIEGO, MARCH 2017 Graham JW King MD, MSc, FRCSC 63 YO WOMAN CT FIXABLE OSTEOTOMY NOT NEEDED 64 YO WOMAN FALL OF LADDER
Elbow Fractures ORIF VS Arthroplasty
Elbow Fractures ORIF VS Arthroplasty Oke Anakwenze, M.D. Olympus Orthopedics No disclosures Disclosures Distal humerus fractures 0.5-0.7% of all fractures 30% of all elbow fractures Bimodal etiology Young
Distal Humerus Fractures: How should they be fixed?
Distal Humerus Fractures: How should they be fixed? Dr. Emil Schemitsch, MD, FRCS(C) Richard Ivey Professor and Chairman, Department of Surgery, Western University Chief of Surgery London Health Sciences
Orthopedics in Motion Tristan Hartzell, MD January 27, 2016
Orthopedics in Motion 2016 Tristan Hartzell, MD January 27, 2016 Humerus fractures Proximal Shaft Distal Objectives 1) Understand the anatomy 2) Epidemiology and mechanisms of injury 3) Types of fractures
Fractures of the Distal Humerus
Fractures of the Distal Humerus Functional Anatomy Hinged joint with single axis of rotation (trochlear axis) Trochlea is center point with a lateral and medial column distal humeral triangle Functional
Linked total elbow arthroplasty as treatment of distal humerus fractures
Acta Orthop. Belg., 2012, 78, 465-472 ORIGINAL STUDY Linked total elbow arthroplasty as treatment of distal humerus fractures Samuel A. AntUñA, Raúl BARCO LAAkSO, Juan L. BARRERA, Xavier ESPigA, Angel
Fractures of the distal humerus are often comminuted
n Original Study Comparison of Functional Outcomes of Total Elbow rthroplasty vs Plate Fixation for Distal Humerus Fractures in Osteoporotic Elbows Kenneth. Egol, MD, Peter Tsai, MD, Oscar Vazquez, MD,
Case Presentation: Comminuted Fractures of the Proximal Ulna 11/28/2017. Disclosures. Surgical Strategy. Implant Choice. Melvin P.
Current Solutions in Orthopaedic Trauma Case Presentation: Comminuted Fracture of the Proximal Ulna Melvin P. Rosenwasser, MD Robert E. Carroll Professor of Surgery of the Hand Chief, Orthopaedic Hand
E ORIGINAL ARTICLE Low extra-articular (transcondylar) fractures of the distal humerus
Shoulder & Elbow. ISSN 1758-5732 E ORIGINAL ARTICLE Low extra-articular (transcondylar) fractures of the distal humerus Alexander A. Weening, Kim M. Brouwer, Margaritha Adams & David Ring Orthopaedic Hand
Primary total elbow arthroplasty in complex fractures of the distal humerus
Online Submissions: http://www.wjgnet.com/esps/ Help Desk: http://www.wjgnet.com/esps/helpdesk.aspx doi:10.5312/wjo.v5.i3.368 World J Orthop 2014 July 18; 5(3): 368-372 ISSN 2218-5836 (online) 2014 Baishideng
Diaphyseal Humerus Fractures. OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD
Diaphyseal Humerus Fractures OTA Course Dallas, TX 1/20/17 Ellen Fitzpatrick MD OBJECTIVES TREATMENT OPTIONS SURGICAL INDICATIONS CONTROVERSIES IN MANAGEMENT Humerus Fractures Treatment Goals: Functional
Therapy following DRF Yes or No?
Distal Radius Fractures Rehabilita6on & Ortho6c Selec6on Do you think outcomes will be the same? 1 2 Therapy following DRF Yes or No? Evidence for Therapy following DRF Level I: Systema6c Review (Handoll,
Elbow System Anatomy:
Elbow System Elbow System Anatomy: Olecranon Fossa Medial Lateral Ulna Olecranon Radius 2 Elbow System AO-classification of distal humerus fractures 3 3 3 Elbow System Case example Transkondylar elbow
11/9/15. Total Elbow Arthroplasty. Who would not want this Patient? I have 3 hours of Free Time!!! KRISTOPHER R. AVANT, DO
Total Elbow Arthroplasty KRISTOPHER R. AVANT, DO SOUTH W E ST ORTH OP A E DIC SP EC IALISTS BONE & JOINT HOSPITAL OKLAHOMA CITY, OK Who would not want this Patient? I have 3 hours of Free Time!!! 1 A comparison
陳書佑 / 吳基銓副部長
陳書佑 / 吳基銓副部長 2012-12-25 1 30 y/o male, TA no radial nerve injury 2 s/p splint arrange functional brace 3 1 month 4 2 months 5 3 months 6 4 months 7 One year 8 Conservative Treatment of Humeral Shaft Fractures
Nearly all of these fractures are displaced, given the paucity of soft tissue attachments.
CAPITELLAR FRACTURE Vasu Pai Nearly all of these fractures are displaced, given the paucity of soft tissue attachments. Nonsurgical management is fraught with complications including chronic pain, mechanical
Technique Guide. 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Olecranon Plates. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Olecranon Plates 2 AO Principles 3 Indications 3 Clinical
Combined Session: Orthopaedic Trauma Association and American Shoulder and Elbow Surgeons
Combined Session: Orthopaedic Trauma Association and American Shoulder and Elbow Surgeons Controversial Upper Extremity Fractures: To Fix or Not? 4:20 pm 5:00 pm Moderators: David C. Ring, MD, PhD (ASES)
Radial - Head Fractures. Christophe Spormann Endoclinic Zürich
Radial - Head Fractures Christophe Spormann Endoclinic Zürich Elbow Func6on > 90% Ac6vi6es of daily living : 100 Flexion Extension : 130-30 Pro Supina9on : 50-0 - 50 Extension deficit beeer tolerated than
LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius.
Technique Guide LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius. Table of Contents Introduction LCP Proximal
The Surgical Management of Complex Intraarticular Fractures of the Distal Humerus
Page 52 The Surgical Management of Complex Intraarticular Fractures of the Distal Humerus Mr R Amirfeyz, Bristol & Mr D Stanley, Sheffield. Correspondence to Mr David Stanley, Consultant Orthopaedic Surgeon
LCP Distal Humerus Plates
The anatomic fixation system for the distal humerus with angular stability Surgical technique LCP Locking Compression Plate Contents Indications and contraindications 2 Implants 3 Instruments 5 Preparation
2.7 mm/3.5 mm Variable Angle LCP Elbow System DJ9257-B 1
2.7 mm/3.5 mm Variable Angle LCP Elbow System DJ9257-B 1 System overview Simply complete: A comprehensive system, consisting of five (5) distal humerus plates and three (3) types of olecranon plates Implant
Complex fractures of the humeral shaft. Janos Solyom Sahlgrenska University Hospital Gothenburg, Sweden
Complex fractures of the humeral shaft Janos Solyom Sahlgrenska University Hospital Gothenburg, Sweden Kopenhagen 2018 Complex fracture Changes in the AO/OTA classification system Complex Multifragmentary
Olecranon fracture. Lonnie Froberg, MD, Ph.D Rigshospitalet, Copenhagen University Hospital
Olecranon fracture Lonnie Froberg, MD, Ph.D Rigshospitalet, Copenhagen University Hospital 20% of forearm fracture 12 per 100.000 persons per year Low-energy fall Increased risk >50 years 90% AO 21.B1.1
LCP Extra-articular Distal Humerus Plate.
Technique Guide LCP Extra-articular Distal Humerus Plate. The anatomically shaped and angular stable fixation system for extraarticular fractures of the distal humerus. Table of Contents Introduction
Locked Plating: Clinical Indications
Techniques in Orthopaedics 22(3):181 185 2007 Lippincott Williams & Wilkins, Inc. Locked Plating: Clinical Indications Kyle F. Dickson, M.D., M.B.A., John Munz, M.D. Summary: As shown in the previous article,
Forearm Fracture Solutions. Product Overview
Forearm Fracture Solutions Product Overview Acumed Forearm Fracture Solutions Acumed Forearm Fracture Solutions includes plating and rodding systems with a range of diaphyseal radius and ulna fracture
3.5 mm LCP Olecranon Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Olecranon Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Olecranon Plates 2 AO Principles 3 Indications
AO / Synthes Proximal Posterior Medial Tibia Plate. Tibial Plateau Fx. Osteosynthesis
Tibial Plateau Fx. Osteosynthesis Articular Fractures Osteosynthesis Characteristics of the LCP system LCP 3.5 system LCP 4.5 system Many different traditional plates (small, large) Lag screws Rafting
Distal radius fractures
Distal radius fractures One of the most common fractures seen by orthopaedic surgeons Incidence 195.2/100,000 persons per year Significant financial burden Distal radius fractures Improved implants ORIF
Technique Guide. Rotation Correction Plates 1.5 and 2.0. Reposition plates for fractures and osteotomies at the metacarpals and phalanges.
Technique Guide Rotation Correction Plates 1.5 and 2.0. Reposition plates for fractures and osteotomies at the metacarpals and phalanges. Table of Contents Introduction Rotation Correction Plates 1.5
Outcome of management of distal humerus fractures by locking compression plate
2017; 3(3): 757-764 ISSN: 2395-1958 IJOS 2017; 3(3): 757-764 2017 IJOS www.orthopaper.com Received: 06-05-2017 Accepted: 07-06-2017 Dr. Govind Kumar Gupta M.S. Assistant Professor, Dept. of Orthopaedics,
Comparison of interfragmentary compression in conventional and locked plating of proximal unicondylar tibia fractures : A biomechanical cadaver study
586 Acta Orthop. s. rahm, Belg., l. 2016, ebneter, 82, 586-592 b. ellenrieder, c. spross, f. kulling, j. b. erhardt ORIGINAL STUDY Comparison of interfragmentary compression in conventional and locked
The study of distal ¼ diaphyseal extra articular fractures of humerus treated with antegrade intramedullary interlocking nailing
2018; 4(4): 46-50 ISSN: 2395-1958 IJOS 2018; 4(4): 46-50 2018 IJOS www.orthopaper.com Received: 01-08-2018 Accepted: 03-09-2018 Dr. Ankur Parikh Orthopaedics, Jehangir Hospital, Sassoon road, Pune, Dr.
To study the outcome of intercondylar fractures of distal humerus using dual plating and its functional outcome
2017; 3(4): 565-570 ISSN: 2395-1958 IJOS 2017; 3(4): 565-570 2017 IJOS www.orthopaper.com Received: 19-08-2017 Accepted: 20-09-2017 Dr. Vikrant Kulkarni Senior Resident, Department of Orthopedics ESIC
HUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do?
HUMERAL SHAFT FRACTURES: ORIF, IMN, NONOP What to do? TRAUMA 101 2018 FRACTURE CARE FOR THE COMMUNITY ORTHOPEDIST William W. Cross III, MD Assistant Professor Division of Orthopaedic Trauma Chair, Division
Triangular Fixation Technique for Bicolumn Restoration in Treatment of Distal Humerus Intercondylar Fracture
Original Article Clinics in Orthopedic Surgery 2016;8:9-18 http://dx.doi.org/10.4055/cios.2016.8.1.9 Triangular Fixation Technique for Bicolumn Restoration in Treatment of Distal Humerus Intercondylar
PROXIMAL HUMERUS FRACTURE TSHT 2017
PROXIMAL HUMERUS FRACTURE TSHT 2017 ANIL DUTTA, M.D. ASSOCIATE PROFESSOR Displacement > 1 cm Angulation > 45 degree SHOULDER AND ELBOW SURGERY UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER SAN ANTONIO DISCLOSURE
FIRST DESCRIBED RETROGRADE TECHNIQUE USING MEDIAL EPICONDYLE 6/5/2018. RETROGRADE vs. ANTEGRADE FEMORAL NAILING
What do I do? ISSUES ANTEGRADE vs. RETROGRADE PIRIFORMIS vs. TROCHANTER FLAT vs. FRACTURE TABLE SWIONTKOWSKI, 1984 FIRST DESCRIBED RETROGRADE TECHNIQUE USING MEDIAL EPICONDYLE 1 RETROGRADE NAILING SANDERS
SURGICAL MANAGEMENT OF DISTAL HUMERUS FRACTURES WITH INTERCONDYLAR EXTENSION BY USING PLATES
SURGICAL MANAGEMENT OF DISTAL HUMERUS FRACTURES WITH INTERCONDYLAR EXTENSION BY USING PLATES S. F. Kammar 1, Suryakanth Kalluraya 2, Nidhin K. P. 3, Dhanoop Dhananjayan 3 1 - Associate Professor, Department
Injuries of the upper extremity
Injuries of the upper extremity Dep. of Traumatology M.Szebeny Egon Schiele Sternoclavicular dislocation Direction: towards the outside or inside (what is behind the dislocation!) Reduction? Retention?
COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF EXTERNAL AND INTERNAL FIXATION IN TREATMENT OF COMMINUTED DISTAL RADIUS FRACTURES
COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF EXTERNAL AND INTERNAL FIXATION IN TREATMENT OF COMMINUTED DISTAL RADIUS FRACTURES R. Sahaya Jose 1 1Assistant Professor, Department of Orthopaedics, Sree Mookambika
Shoulder Arthroplasty for Proximal Humerus Fracture
Arthroplasty in Upper Limb Trauma AADO/HKSSH Conjoint Scientific Meeting 2012 Shoulder Arthroplasty for Proximal Humerus Fracture Dr TSE Lung Fung Department of O&T, Prince of Wales Hospital The Chinese
Recurrent subluxation or dislocation after surgical
)263( COPYRIGHT 2017 BY THE ARCHIVES OF BONE AND JOINT SURGERY CASE REPORT Persistent Medial Subluxation of the Ulna with Radiotrochlear Articulation Amir R. Kachooei, MD; David Ring, MD, PhD Research
[Intervention Protocol] Surgical interventions for treating distal humeral fractures in adults Yan Wang 1, Peifu Tang 1, Wei Yang 2, Qi Zhuo 1 1 Depar
![[Intervention Protocol] Surgical interventions for treating distal humeral fractures in adults Yan Wang 1, Peifu Tang 1, Wei Yang 2, Qi Zhuo 1 1 Depar](/thumbs/91/104515166.jpg "[Intervention Protocol] Surgical interventions for treating distal humeral fractures in adults Yan Wang 1, Peifu Tang 1, Wei Yang 2, Qi Zhuo 1 1 Depar")
T A B L E O F C O N T E N T S HEADER....................................... ABSTRACT...................................... BACKGROUND.................................... OBJECTIVES.....................................
Study of surgical fixation of extra-articular distal third humerus fractures with a posterolateral locking compression plate
International Journal of Research in Orthopaedics http://www.ijoro.org Original Research Article DOI: http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20190520 Study of surgical fixation of extra-articular
Integra. Proximal Humeral Fracture Plate CASE STUDY
Integra CASE STUDY Integra Physician Profile Galen Kam, MD The Bronstein Hand Center, Las Vegas, NV Board Certification: Upper Extremity, American Board of Orthopaedic Surgery Medical School: Creighton
LISS DF and LISS PLT. Less Invasive Stabilization Systems for Distal Femur and Proximal Lateral Tibia.
LISS DF and LISS PLT. Less Invasive Stabilization Systems for Distal Femur and Proximal Lateral Tibia. LISS DF and LISS PLT. Less Invasive Stabilization Systems for Distal Femur and Proximal Lateral Tibia.
3.5 mm LCP Distal Humerus Plates
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Distal Humerus Plates Surgical Technique Table of Contents Introduction 3.5 mm LCP Distal Humerus Plates 2 AO Principles 4 Indications
Osseous Injuries in Skeletally Immature Throwing Athletes
Osseous Injuries in Skeletally Immature Throwing Athletes Michael T. Freehill M.D. Associate Professor of Orthopaedic Surgery University of Michigan ISAKOS Shanghai, China June 6, 2017 Disclosures Consultant:
Fractures of the distal humerus account
Review Article Current Treatment Strategies for Bicolumnar Distal Humerus Fractures Gregory J. Galano, MD Christopher S. Ahmad, MD William N. Levine, MD Abstract Management of distal humerus fractures
Locking Proximal Humerus Plate. For complex and unstable fractures.
Locking Proximal Humerus Plate. For complex and unstable fractures. Features and Benefits Anatomic design & low profile (2.2mm) 95 No bending required Minimised soft tissue irritation Low risk of subacromial
Elbow Hinge Fixator. Guided Flexion/Extension for Unstable Elbow Fractures.
Elbow Hinge Fixator. Guided Flexion/Extension for Unstable Elbow Fractures. Surgical Technique MR Safe Radiolucent Table of Contents System Description 3 Indications and Contraindications 4 Fixation Components
2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System.
2.4 mm LCP Radial Head Plates. Part of the Synthes LCP Distal Radius Plate System. Technique Guide Instruments and Implants approved by the AO Foundation Table of Contents Introduction 2.4 mm LCP Radial
Bi-columnar Plating For Supracondylar Fracture Extending Into Humeral Shaft : A Report Of Three Case And Literature Review
Article ID: WMC001214 2046-1690 Bi-columnar Plating For Supracondylar Fracture Extending Into Humeral Shaft : A Report Of Three Case And Literature Review Corresponding Author: Dr. Chander Bhushan, Postgraduate
Complex Distal Humeral Fractures: Internal Fixation with a Principle-Based Parallel-Plate Technique. Surgical Technique
This is an enhanced PDF from The Journal of Bone and Joint Surgery The PDF of the article you requested follows this cover page. Complex Distal Humeral Fractures: Internal Fixation with a Principle-Based
Which Fractures Require Internal Fixation?
Which Fractures Require Internal Fixation? THOMAS (QUIN) THROCKMORTON, MD PROFESSOR SHOULDER AND ELBOW SURGERY UNIVERSITY OF TENNESSEE CAMPBELL CLINIC DEPARTMENT OF ORTHOPAEDIC SURGERY I (and/or my co
Technique Guide. VA-LCP Distal Humerus Plates 2.7/3.5. The low-profile fixation system with variable angle locking technology.
Technique Guide VA-LCP Distal Humerus Plates 2.7/3.5. The low-profile fixation system with variable angle locking technology. Image intensifier control Warning This description alone does not provide sufficient
Biomedical Research 2017; 28 (14): ISSN X
Biomedical Research 2017; 28 (14): 6251-6255 ISSN 0970-938X www.biomedres.info Comparison study of the clinical effect and biomechanics between locking compression plate and interlocking intramedullary
Surgical Technique. This publication is not intended for distribution in the USA. Instruments and implants approved by the AO Foundation.
LCP Extra-articular Distal Humerus Plate. The anatomically shaped and angular stable fixation system for extraarticular fractures of the distal humerus. Surgical Technique This publication is not intended
VariAx Elbow Locking Plate System
VariAx Elbow Locking Plate System Operative Technique Distal Lateral Plate Distal Medial Plate Posterior Lateral Plate Posterior Medial Plate Olecranon Plate Locking and Non Locking Screws Dedicated Instrumentation
Technique Guide. 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system.
Technique Guide 3.5 mm LCP Periarticular Proximal Humerus Plate. Part of the Synthes locking compression plate (LCP) system. Table of Contents Introduction 3.5 mm LCP Proximal Humerus Plate 2 AO Principles
Posteromedial approach to the distal humerus for fracture fixation
Acta Orthop. Belg., 2006, 72, 395-399 ORIGINAL STUDY Posteromedial approach to the distal humerus for fracture fixation Cédric LAPORTE, Maurice THIONGO, Dominique JEGOU From the General Hospital of Meaux,
Elbow, forearm injuries. K. Fekete
Elbow, forearm injuries K. Fekete 1. Outline: Fractures of the elbow Dislocation of the elbow Fractures of the forearm Special injuries 2. ANATOMY 3. Lennard Funk Anatomical reminder Three joints: Humero-ulnar
Proximal Humerus Fractures: contemporary perspectives
Proximal Humerus Fractures: contemporary perspectives Diego L Fernandez M.D Professor of Orthopaedic Surgery Department of Orthopaedic Surgery Lindenhof Hospital, Berne, Switzerland www.diegofernandez.ch
Surgical Technique. Distal Humerus Locking Plate
Surgical Technique Distal Humerus Locking Plate PERI-LOC Locked Plating System Distal Humerus Locking Plate Surgical Technique Table of Contents Introduction...2 Indications...3 Plate Features...3 Patient
Fractures and dislocations around elbow in adult
Lec: 3 Fractures and dislocations around elbow in adult These include fractures of distal humerus, fracture of the capitulum, fracture of the radial head, fracture of the olecranon & dislocation of the
3.5 mm LCP Extra-articular Distal Humerus Plate
Part of the DePuy Synthes Locking Compression Plate (LCP ) System 3.5 mm LCP Extra-articular Distal Humerus Plate Surgical Technique Table of Contents Introduction 3.5 mm LCP Extra-articular Distal Humerus
Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates
Acta Orthop. Belg., 2017, 83, 93-97 ORIGINAL STUDY Primary total hip arthroplasty after acetabular fracture using intra-acetabular bended plates Valentinas Uvarovas, Igoris Šatkauskas, Giedrius Petryla,
Distal Femur Fractures in The Elderly The Ideal Construct
Distal Femur Fractures in The Elderly The Ideal Construct Tak-Wing Lau Department of Orthopaedics and Traumatology Queen Mary Hospital The University of Hong Kong Singapore Trauma 2015 Trauma Through the
Welcome & The Painful Mobile Shoulder. Charlie Talbot. Consultant Shoulder & Elbow Surgeon Harrogate & Spire Leeds
Welcome & The Painful Mobile Shoulder Charlie Talbot Consultant Shoulder & Elbow Surgeon Harrogate & Spire Leeds Neil Pennington Charlie Talbot Simon Boyle Neil Pennington Born in Preston Practice based
A prospective study of surgical management of distal end humerus fractures in adults
2016; 2(4): 223-229 ISSN: 2395-1958 IJOS 2016; 2(4): 223-229 2016 IJOS www.orthopaper.com Received: 06-08-2016 Accepted: 07-09-2016 Dayanand BB Associate Professor, Shri BM Patil Medical College Hospital
Surgical Technique. Elbow Plating System
Surgical Technique Elbow Plating System Acumed is a global leader of innovative orthopaedic and medical solutions. We are dedicated to developing products, service methods, and approaches that improve
Bull Emerg Trauma 2017;5(1): Functional Results of Intercondylar Fractures of the Humerus Fixed with Dual Y-Plate; A Technical Note
Bull Emerg Trauma 2017;5(1):36-41. Original Article Functional Results of Intercondylar Fractures of the Humerus Fixed with Dual Y-Plate; A Technical Note Swagat Mahapatra 1 *, Vineet Thomas Abraham 1
Mortality, complica.on and fusion rates of pa.ents with odontoid fracture
Mortality, complica.on and fusion rates of pa.ents with odontoid fracture Yann Philippe Charles (Strasbourg, France) Société Française de Chirurgie Rachidienne B. Blondel (Marseille), S. Fuentes (Marseille),
Total Elbow Arthroplasty: an Update
Total Elbow Arthroplasty: an Update Emilie Cheung, M.D. Associate Professor Chief, Shoulder and Elbow Service Stanford University Department of Orthopedic Surgery Procedure volumes and rates increased
Simply Complete. VA-LCP Elbow Plating System.
Simply Complete. VA-LCP Elbow Plating System. Building on success Founded upon the established principles of Synthes LCP technology and the first generation elbow plates, the Variable Angle LCP Elbow Plating
Austin Hill MD MPH. Assistant Professor Dell Medical School Dept of Surgery and Perioperative Care Orthopaedic Trauma
Austin Hill MD MPH Assistant Professor Dell Medical School Dept of Surgery and Perioperative Care Orthopaedic Trauma Disclosures Orthopedic Implant Company ownership, stock, or options Increasing volume
Technique Guide. 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology.
Technique Guide 2.4 mm Variable Angle LCP Distal Radius System. For fragment-specific fracture fixation with variable angle locking technology. Table of Contents Introduction 2.4 mm Variable Angle LCP
A clinical study on role of surgical management of clavicle fractures in adults
Document heading doi: 10.21276/apjhs.2017.4.1.36 Research Article A clinical study on role of surgical management of in adults Siva Sankar Murthy T 1, Syam Kumar R 2* 1 Assistant Professor, Department
SpeedTip CCS 2.2, 3.0
PRODUCT INFORMATION SpeedTip CCS 2.2, 3.0 Cannulated Compression Screws APTUS SpeedTip CCS 2.2, 3.0 Cannulated Compression Screws Contents 4 Indications and Examples of Use 6 Technology, Screw Features
Proximal humeral fractures are
Clin Orthop Relat Res (2015) 473:2750 2756 / DOI 10.1007/s11999-015-4430-7 Clinical Orthopaedics and Related Research A Publication of The Association of Bone and Joint Surgeons Published online: 27 June
Proximal Humerus Fractures
Proximal Humerus Fractures Trafford General Hospital, June 2010 Nehmat Singh, Jawad Sultan Anatomy of the Proximal Humerus Consists of four parts: humeral head, surgical neck and greater and lesser tubercles
Olecranon Osteotomy Nail. For simple fractures and osteotomies of the olecranon.
Olecranon Osteotomy Nail. For simple fractures and osteotomies of the olecranon. Technique Guide Discontinued June 2016; AVAILABLE FOR IMPLANT REMOVAL PURPOSES ONLY DSEM/TRM/0517/0843 Table of Contents
MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS FOR DISTAL RADIUS FRACTURES: SURGICAL TECHNIQUE M. TOBE 1, K. MIZUTANI 1, Y. TSUBUKU 1, Y.
Riv Chir Mano - Vol. 43 (3) 2006 MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS FOR DISTAL RADIUS FRACTURES: SURGICAL TECHNIQUE M. TOBE 1, K. MIZUTANI 1, Y. TSUBUKU 1, Y. YANAGIHARA 2 1 Department of 2nd Orthopaedic
ISSN No: Management of intra-articular fractures of distal humerus with two column fixation with orthogonal plate construct
Available online at www.ijmrhs.com ISSN No: 2319-5886 International Journal of Medical Research & Health Sciences, 2016, 5, 10:159-165 Management of intra-articular fractures of distal humerus with two
ISSN X (Print) Research Article. *Corresponding author Krishnamurthy M.O
Scholars Journal of Applied Medical Sciences (SJAMS) Sch. J. App. Med. Sci., 2014; 2(6F):3274-3280 Scholars Academic and Scientific Publisher (An International Publisher for Academic and Scientific Resources)
VA-LCP Distal Humerus Plates 2.7/3.5. The low-profile fixation system with variable angle locking technology.
VA-LCP Distal Humerus Plates 2.7/3.5. The low-profile fixation system with variable angle locking technology. Technique Guide This publication is not intended for distribution in the USA. Instruments and
MANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT. By Dr B. Anudeep M. S. orthopaedics Final yr pg
MANAGEMENT OF INTRAARTICULAR FRACTURES OF ELBOW JOINT By Dr B. Anudeep M. S. orthopaedics Final yr pg INTRAARTICULAR FRACTURES Intercondyar fracture Elbow dislocation Capitellum # Trochlea # Radial head
Supracondylar Osteotomies of Posttraumatic Distal Humeral Deformities in Young Adults - Technique and Results
The Open Orthopaedics Journal, 2011, 5, 389-394 389 Open Access Supracondylar Osteotomies of Posttraumatic Distal Humeral Deformities in Young Adults - Technique and Results Fokko Richard Buß *,1, Arndt-Peter
LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius.
LCP Proximal Radius Plates 2.4. Plates for radial head rim and for radial head neck address individual fracture patterns of the proximal radius. Surgical Technique This publication is not intended for
Proximal fractures of the humerus in patients older than 75 years of age: should we consider operative treatment?
J Orthopaed Traumatol (2014) 15:111 115 DOI 10.1007/s10195-013-0273-8 ORIGINAL ARTICLE Proximal fractures of the humerus in patients older than 75 years of age: should we consider operative treatment?
A clinical study of minimal invasive anterior bridge plating for humerus shaft fractures
2018; 4(2): 01-05 ISSN: 2395-1958 IJOS 2018; 4(2): 01-05 2018 IJOS www.orthopaper.com Received: 01-02-2018 Accepted: 02-03-2018 Mohammed Ibrahim Dr. Vijay H Rathod A clinical study of minimal invasive
LCP metaphyseal plate fixation for fractures of the distal third humeral shaft using brachialis splitting approach
Acta Orthop. Belg., 2016, 82, 85-93 ORIGINAL STUDY LCP metaphyseal plate fixation for fractures of the distal third humeral shaft using brachialis splitting approach Sang Ki Lee, Dae Suk Yang, Shann Haw
Biomechanical and Clinical Evaluation of a New Operative Technique
27 Posterior Olecranon Plating Biomechanical and Clinical Evaluation of a New Operative Technique Nirmal C. Tejwani, M.D., Ian R. Garnham, F.R.C.S., Philip R. Wolinsky, M.D., Frederick J. Kummer, Ph.D.,
Rehabilitation after Total Elbow Arthroplasty
Rehabilitation after Total Elbow Arthroplasty Total Elbow Atrthroplasty Total elbow arthroplasty (TEA) Replacement of the ulnohumeral articulation with a prosthetic device. Goal of TEA is to provide pain