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Lateral Approach for Internal Fixation of the Distal Humeral Shaft Fractures
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Seung Koo Rhee, Joo Yup Lee, Yoo Joon Suh, Joon Ho Lee, Nong Kyoum Ahn
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J Korean Fract Soc 2004;17(2):83-89. Published online April 30, 2004
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DOI: https://doi.org/10.12671/jkfs.2004.17.2.83
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 Abstract
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- PURPOSE
To investigate the efficacy and advantages of the lateral approach for internal fixation of the distal humeral shaft fractures.
MATERIALS AND METHODS
Twelve patients with distal humeral shaft fractures who underwent open reduction and internal fixation using plate and screws by lateral approach from January, 1997 to May, 2002 were investigated. Postoperative results after a minimum 1 year follow-up were assessed using union rate, elapsed time to union, postoperative complications such as iatrogenic radial nerve palsy, range of motion of the elbow joint. Clinical outcomes were evaluated with Mayo elbow performance scoring system.
RESULTS
Union was achieved in all cases. The average time to union was 9 weeks (range, 7~12 weeks). Four cases of preoperative radial nerve palsy were revealed as contusion of the intact nerve and resolved completely by three months. The mean elbow range of motion was from 5 to 138 degrees. The average Mayo elbow performance score was 91 points; 9 cases ranked as excellent and 3 as good.
CONCLUSION
Distal humeral shaft fractures can be treated successfully through open reduction and internal fixation using plate and screws. Lateral approach is recommended to stabilize distal humeral shaft fractures without compromising the range of motion of the elbow, and to protect or explore the injured radial nerves easily
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Citations
Citations to this article as recorded by  - Modified anterolateral approach for internal fixation of Holstein–Lewis humeral shaft fractures
Ho Min Lee, Young Sung Kim, Suk Kang, Min Young Lee, Jong Pil Kim
Journal of Orthopaedic Science.2018; 23(1): 137. CrossRef - Posterior Dual Plating for Distal Shaft Fractures of the Humerus
Chul-Hyun Cho, Kwang-Yeung Jeong, Beom-Soo Kim
Journal of the Korean Fracture Society.2017; 30(3): 117. CrossRef
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Brachial Plexus Injury Secondary to Exuberant Callus Formation of Fracture of Clavicle : Two Cases Report
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Song Eon Lee, Young shik Shin, Jeong Ho Yang, Joon Ho Lee
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J Korean Soc Fract 1998;11(2):427-434. Published online April 30, 1998
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DOI: https://doi.org/10.12671/jksf.1998.11.2.427
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Abstract
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- Brachial plexus neuropraxia is a rare complication of the fractured clavicle although neurovascular injury following clavicular fracture is significant problem. The clavicular midshaft fracture can almost always be treated by conservative methods with a high rate of healing. There are some operative indication for clavicular fracture, which contains severe angulation or comminution of clavicle fracture, neurovascular compromise that is progressive, open fracture and closed method of immobilization are immpossible. Nearly all fracture was healed without complications such as infection, neurovascular compromise and nonunion. The authors describe two cases of brachial plexus injury secondary to exuberant callus formation of the clavicular fracture.
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