The authors report their experience with the posteromedial surgical approach of the humeral shaft for internal fixation of fractures by plating. Sixteen patients were treated for humeral shaft fractures (14 for recent fractures and two for nonunion) below the mid-diaphysis, all without injury of the radial nerve. Patients were operated in the prone position. Plate and screw fixation on the medi...

OBJECTIVE To evaluate the reproducibility of the AO/Asif classification for humeral shaft fractures. METHODS Consecutive radiographs of the arm in both anteroposterior and lateral view from 60 patients with humeral shaft fractures were analyzed. Six observers who were familiar with the AO/Asif classification (three shoulder and elbow surgery specialists and three general orthopedists) were se...

The appropriate treatment of extraarticular distal humerus fractures is controversial. While functional bracing has been shown to result in good outcomes, some surgeons continue to favor operative fixation. Specifically, they cite concerns of radial nerve injury, difficulty in controlling fracture alignment, and long-term elbow stiffness with bracing. Jawa et al compared functional bracing with...

BACKGROUND There are three main surgical techniques to treat humeral shaft fractures: open reduction and plate fixation (ORPF), intramedullary nail (IMN) fixation, and minimally invasive percutaneous osteosynthesis (MIPO). We performed a network meta-analysis to compare three surgical procedures, including ORPF, IMN fixation, and MIPO, to provide the optimum treatment for humerus shaft fracture...

BACKGROUND We conducted this radiographic study in the elderly population with proximal humeral fracture aiming to evaluate 1) the serial changes of neck-shaft angle after locking plate fixation and 2) find relationship between change in neck shaft angle and various factors such as age, fracture pattern, severity of osteoporosis, medial support and initial reduction angle. METHODS Twenty-five...

: In this retrospective study 48 humeral shaft fractures in 48 patients were operated on using the Seidel interlocking nail. The length of follow-up ranged from 6 to 60 months (median, 26 months). The treatment of fractures was satisfactory with the Seidel nail, but we emphasize the importance of countersinking the tip of the nail into the humeral head to avoid impingement. In 5 of 12 patients ...

conclusions the functional outcome 22 months post injury showed that although primary treatment method uses locked imn in humeral shaft fractures, unlocked imn can be used in appropriate cases. less injury risk to the axillary and radial nerve, short period of surgery, and less radiation can be considered as advantages of this technique. introduction although intramedullary nailing (imn) is use...

Humeral shaft fractures make up from 3 to 5 per cent of the general number fractures. There is a distinct bimodal age distribution patients with diaphyseal humeral Most cases are found among men aged 21-30 years and elderly women 60-80 years. Biomechanical peculiarities bone fragment displacement in an important component further planning patient’s treatment rehabilitation. The aim this article...