Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture
Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimisin...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2013/690906 |
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| author | Hiren M. Divecha Hans A. J. Marynissen |
| author_facet | Hiren M. Divecha Hans A. J. Marynissen |
| author_sort | Hiren M. Divecha |
| collection | DOAJ |
| description | Distal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Descriptions of such cases in the current literature are very rare. We present the case of a midshaft humeral fracture treated with a locking compression plate that developed a nonunion, in a 60-year old female. This went on to successful union after exchange for an intramedullary humeral nail. Unfortunately, the patient developed a distal 1/5th humeral periprosthetic fracture, which was then successfully addressed with a single-contoured, extra-articular, distal humeral locking compression plate (Synthes) with unicortical locking screws and cerclage cables proximally around the distal nail tip region. An excellent postoperative range of motion was achieved. |
| format | Article |
| id | doaj-art-54135880c9204f7f94dfe0449c82afb3 |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-54135880c9204f7f94dfe0449c82afb32025-02-03T01:01:01ZengWileyCase Reports in Orthopedics2090-67492090-67572013-01-01201310.1155/2013/690906690906Distal Humeral Fixation of an Intramedullary Nail Periprosthetic FractureHiren M. Divecha0Hans A. J. Marynissen1Department of Trauma & Orthopaedic Surgery, East Lancashire Hospitals NHS Trust, Haslingden Road, Blackburn BB2 3HH, UKDepartment of Trauma & Orthopaedic Surgery, East Lancashire Hospitals NHS Trust, Haslingden Road, Blackburn BB2 3HH, UKDistal humeral periprosthetic fractures below intramedullary nail devices are complex and challenging to treat, in particular due to the osteopenic/porotic nature of bone found in these patients. Fixation is often difficult to satisfactorily achieve around the intramedullary device, whilst minimising soft tissue disruption. Descriptions of such cases in the current literature are very rare. We present the case of a midshaft humeral fracture treated with a locking compression plate that developed a nonunion, in a 60-year old female. This went on to successful union after exchange for an intramedullary humeral nail. Unfortunately, the patient developed a distal 1/5th humeral periprosthetic fracture, which was then successfully addressed with a single-contoured, extra-articular, distal humeral locking compression plate (Synthes) with unicortical locking screws and cerclage cables proximally around the distal nail tip region. An excellent postoperative range of motion was achieved.http://dx.doi.org/10.1155/2013/690906 |
| spellingShingle | Hiren M. Divecha Hans A. J. Marynissen Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture Case Reports in Orthopedics |
| title | Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture |
| title_full | Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture |
| title_fullStr | Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture |
| title_full_unstemmed | Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture |
| title_short | Distal Humeral Fixation of an Intramedullary Nail Periprosthetic Fracture |
| title_sort | distal humeral fixation of an intramedullary nail periprosthetic fracture |
| url | http://dx.doi.org/10.1155/2013/690906 |
| work_keys_str_mv | AT hirenmdivecha distalhumeralfixationofanintramedullarynailperiprostheticfracture AT hansajmarynissen distalhumeralfixationofanintramedullarynailperiprostheticfracture |