Journal of Musculoskeletal Trauma

Medial and Lateral Dual Plate Fixation for Osteoporotic Proximal Humerus Comminuted Fracture: 2 Case Reports: Sam Guk Park; J Korean Fract Soc 2016;29(1):61-67. Published online January 31, 2016; DOI: https://doi.org/10.12671/jkfs.2016.29.1.61

Some proximal humeral fractures in elderly patients are accompanied by medial metaphyseal comminution and quality of the bone is so poor that head preserving osteosynthesis seems to be amenable. In cases of medial metaphyseal comminution, lateral locking compression plate (LCP) fixation also has a tendency to become a matter of screw cut out or loss of fixation. The author reports on successful treatment of two osteoporotic proximal humeral fractures combined with medial meta-physeal comminution, with application of additional direct medial supporting plate fixation. Medial plate fixations were added when the fractures were still unstable after the conventional lateral LCP fixation and anterior circumflex humeral arteries had been ruptured before. The fixations were stable enough to start exercise immediately after surgery. The inclinations of the humeral neck were not changed until the last follow-up and clinical results were satisfactory without humeral head osteonecrosis which was a concern.

Citations

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Dual-Plate Fixation for Proximal Humerus Fractures With Unstable Medial Column in Patients With Osteoporosis
Hyun-Gyu Seok, Sam-Guk Park
Journal of Orthopaedic Trauma.2023; 37(10): e387. CrossRef
The plate fixation strategy of complex proximal humeral fractures
Qi Sun, Xiaoming Wu, Lei Wang, Ming Cai
International Orthopaedics.2020; 44(9): 1785. CrossRef
Biomechanical evaluation of a novel dualplate fixation method for proximal humeral fractures without medial support
Yu He, Yaoshen Zhang, Yan Wang, Dongsheng Zhou, Fu Wang
Journal of Orthopaedic Surgery and Research.2017;[Epub] CrossRef

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Infected Nonunion of Clavicle Shaft after Operation: A Case Report: Ho Su Jang, Suk Hwan Jang; J Korean Fract Soc 2015;28(1):77-81. Published online January 31, 2015; DOI: https://doi.org/10.12671/jkfs.2015.28.1.77

Abstract PDF: The infected nonunion of clavicle with bone defect is an uncommon complication following clavicle shaft fracture. There were a few reports regarding treatment of the infected nonunion after clavicle fracture. We report on a case of infected clavicle nonunion successfully treated with autologous bone graft and dual plate fixation.

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Dual Plate Fixation Compared with Hybrid External Fixator Application for Complex Tibial Plateau Fractures: Jae Sung Lee, Yong Beom Park, Han Jun Lee; J Korean Fract Soc 2008;21(2):124-129. Published online April 30, 2008; DOI: https://doi.org/10.12671/jkfs.2008.21.2.124

Abstract PDF: PURPOSE
To cmpare the clinical results of complex tibial plateau fractures treated by hybrid external fixation and dual plate fixation.
MATERIALS AND METHODS
We studied forty patients with Schatzker type V and VI fractures respectively and selected twenty seven patients who were followed at least one year between January 2000 and December 2005. We evaluated the clinical results in which fourteen fractures with hybrid external fixation were compared with thirteen fractures with dual plate fixation. The clinical results were evaluated according to Knee Society Clinical Rating System and the statistical analysis was performed by Student t-test.
RESULTS
There were no significant differences in terms of bone union time (average union time: dual plate fixation 13.8 weeks, hybrid external fixation 14.2 weeks). The quality of osseous reduction was superior in the fractures with dual plate fixation than those with hybrid external fixation. There were significant differences in functional score (average functional score: dual plate fixation 73, hybrid external fixation 62), but not in average knee score.
CONCLUSION
The hybrid external fixation can be a useful modality for treatment of complex proximal tibial plateau fractures. But the good quality of the fracture reduction by dual plate fixation may be a indicator for favorable prognosis for satisfactory knee function.

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Dual Plate Osteosynthesis for Distal Humeral Fractures: Chang Wu Oh, Hee Soo Kyung, Pook Taek Kim, Il Hyung Park, Yeong Chul Choi; J Korean Soc Fract 2000;13(1):120-125. Published online January 31, 2000; DOI: https://doi.org/10.12671/jksf.2000.13.1.120

Abstract PDF: PURPOSE
: The purpose of this pater was to evaluate results of double plate osteosynthesis in distal humerus fractures. MATERIAL AND METHOD : From June1995 to August 1998, we reviewed 22 distal humerus fractures. According to the type of fractures(AO classification), 6 and 16 cases were type A and C respectively. According to surgical approach, transolecranon approach was done in 12 cases and triceps split approach in 10 cases. We fixed intercondylar fracture with lag screw and supracondylar fracture with dual plate(2 reconstruction plates or 1 reconstruction plate + 1/3 tubular plate) as right angle. Rehabilitation was started just after postoperative 24 hours with posterior splint, and then increase activity and frequency.
RESULTS
: Average union time was 11.5 weeks. Overall functional results according to the classification of Jupiter and Cassebaum were excellent, good, fair, poor in 8, 10, 3, 1 cases, respectively. According to the age, patients under 50-year-old group revealed slightly superior functional. According to the type of fracture, surgical approach, interval between injury and approach, there were no statistically significant difference between group(p>0.05). There were 5 cases with complications. 1 case was mental failure, 3 cases were ulnar palsy, and 1 case was transient radial nerve palsy.
CONCLUSION
: We consider dual plate osteosynthesis in distal humerus fractures as a good treatment modality, even in type C fractures and old age patients.

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