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Humeral Shaft Fractures (Transverse, Oblique, Butterfly, Bifocal)

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Fracture Reduction and Fixation Techniques

Abstract

In this chapter, reconstruction of mid shaft humeral fractures is described. Choice of approach, implant selection and tips and tricks to avoid pitfalls of fracture fixation is discussed.

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References

  1. Shao YC, Harwood P, Grotz MR, Limb D, Giannoudis PV. Radial nerve palsy associated with fractures of the shaft of the humerus. J Bone Joint Surg Br. 2005;87-B(12):1647–52.

    Article  Google Scholar 

  2. Humeral Shaft Fractures. https://www.orthobullets.com/trauma/1016/humeral-shaft-fractures.

  3. Walker MPB, Badman B, Brooks J, Van Gelderen J, Mighell M. Humeral shaft fractures: a review. J Shoulder Elb Surg. 2011;20(5):833–44.

    Article  Google Scholar 

  4. Klenerman L. Fractures of the shaft of the humerus. J Bone Joint Surg Br. 1966;48(1):105–11.

    Article  CAS  PubMed  Google Scholar 

  5. Bencic I, Cengic T, Prenc J, Bulatovic N, Matejcic A. Humeral nail: comparison of the antegrade and retrograde application. Acta Clin Croat. 2016;55(1):110–6.

    Article  PubMed  Google Scholar 

  6. Euler SA, Petri M, Venderley MB, Dornan GJ, Schmoelz W, Turnbull TL, Plecko M, Kralinger FS, Millett PJ. Biomechanical evaluation of straight antegrade nailing in proximal humeral fractures: the rationale of the “proximal anchoring point”. Int Orthop. 2017;41(9):1715–21.

    Article  PubMed  Google Scholar 

  7. Langer P, Born C. Intramedullary fixation of humeral shaft fractures. In: Wiesel S, editor. Operative techniques in orthopaedic surgery. London: Lippincott Williams & Wilkins; 2011.

    Google Scholar 

  8. Lee H-J, C-W O, J-K O, Apivatthakakul T, Kim J-W, Yoon J-P, Lee D-J, Jung J-W. Minimally invasive plate osteosynthesis for humeral shaft fracture: a reproducible technique with the assistance of an external fixator. Arch Orthop Trauma Surg. 2013;133(5):649–57.

    Article  PubMed  Google Scholar 

  9. Garberina M, Getz C. Plate fixation of humeral shaft fractures. In: Wiesel S, editors. Operative techniques in orthopaedic surgery. London:Lippincott Williams & Wilkins.

    Google Scholar 

  10. Carroll EA, Schweppe M, Langfitt M, Miller AN, Halvorson JJ. Management of humeral shaft fractures. J Am Acad Orthop Surg. 2012;20(7):423–33.

    Article  PubMed  Google Scholar 

  11. Gerwin M, Hotchkiss RN, Weiland AJ. Alternative operative exposures of the posterior aspect of the humeral diaphysis with reference to the radial nerve. J Bone Joint Surg Am. 1996;78(11):1690–5.

    Article  CAS  PubMed  Google Scholar 

  12. Higgs D. Humeral shaft fractures - principles of management. In: Bentley G, editor. European surgical orthopaedics and traumatology. Berlin: Springer; 2014.

    Google Scholar 

  13. Crenshaw A. Fractures of shoulder, arm and forearm. In: Canale ST, Beaty JH, Campbell WC, editors. Campbell’s operative orthopaedics, vol. 3. London: Mowby; 2003.

    Google Scholar 

  14. Zhao JG, Wang J, Meng XH, Zeng XT, Kan SL. Surgical interventions to treat humerus shaft fractures: a network meta-analysis of randomized controlled trials. PLoS One. 2017;12(3):e0173634.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Peter V. Giannoudis .

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Howard, A., Tosounidis, T., Giannoudis, P.V. (2018). Humeral Shaft Fractures (Transverse, Oblique, Butterfly, Bifocal). In: Giannoudis, P. (eds) Fracture Reduction and Fixation Techniques. Springer, Cham. https://doi.org/10.1007/978-3-319-68628-8_15

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  • DOI: https://doi.org/10.1007/978-3-319-68628-8_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-68627-1

  • Online ISBN: 978-3-319-68628-8

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