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Humeral Shaft Fracture: Open Reduction Internal Fixation

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Pediatric Orthopedic Trauma Case Atlas

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Abstract

A 15-year-old boy presented as a polytrauma victim from a motor vehicle accident with a closed right comminuted humeral shaft fracture. Because of the multiple other injuries, including contralateral open distal tibia and fibula fractures, the humerus fracture was treated with open reduction and internal fixation, which allowed for earlier mobilization during a prolonged hospital stay and rehabilitation period. Key treatment strategies include using an extended deltopectoral surgical approach, choosing a stiff enough implant to allow weight bearing, and placing the plate onto the bone with prebend and compression across the fracture. The fracture healed, and the implant was later removed when it and the surrounding robust bone mass became symptomatic.

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References and Suggested Reading

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Author information

Authors and Affiliations

  1. Seattle Children’s Hospital, University of Washington (From nemours dupont), Seattle, WA, USA

    Jennifer M. Bauer

  2. Department of Orthopedic Surgery, Nemours: Alfred I. duPont Hospital for Children, Wilmington, DE, USA

    William G. Mackenzie

Authors
  1. Jennifer M. Bauer
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  2. William G. Mackenzie
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Corresponding author

Correspondence to Jennifer M. Bauer .

Editor information

Editors and Affiliations

  1. Ohio State University, Nationwide Children’s Hospital Ohio State University, Columbus, Ohio, USA

    Christopher Iobst

  2. Department of Orthopedic Surgery, Nemours Children's Hospital, Orlando, Florida, USA

    Steven L. Frick

Section Editor information

  1. Division of Orthopedic Surgery, Nemours Children’s Specialty Care, Pensacola, FL, USA

    Richard Reynolds MD

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© 2018 Springer International Publishing AG

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Bauer, J.M., Mackenzie, W.G. (2018). Humeral Shaft Fracture: Open Reduction Internal Fixation. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-28226-8_11-1

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  • DOI: https://doi.org/10.1007/978-3-319-28226-8_11-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28226-8

  • Online ISBN: 978-3-319-28226-8

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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