Use of Orthogonal or Parallel Plating Techniques to Treat Distal Humerus Fractures - 11/08/11

Doi : 10.1016/j.hcl.2010.05.008

Joshua M. Abzug, MD ^a,^⁎ , Phani K. Dantuluri, MD ^b,^c,^d
^a The Philadelphia Hand Center, Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite G114, Philadelphia, PA, USA
^b Department of Orthopaedics, Emory University Midtown Hospital, 550 Peachtree Street Northeast, Atlanta, GA, USA
^c Department of Orthopaedics, Atlanta Medical Center, 303 Parkway Drive Northeast, Atlanta, GA, USA
^d Department of Orthopaedics, Resurgens Orthopaedics, 550 Peachtree Street, 19th Floor, Atlanta, GA, USA

Corresponding author. The Philadelphia Hand Center, Department of Orthopaedic Surgery, Thomas Jefferson University Hospital, 834 Chestnut Street, Suite G114, Philadelphia, PA.

Resumen

Distal humerus fractures continue to be a complex fracture to treat. This article describes two surgical techniques that can be used to tackle these difficult fractures: Parallel plating and orthogonal plating. Both techniques have yielded excellent outcomes after open reduction and internal fixation; yet each has its own set of unique considerations. However, the key to successful treatment of these difficult fractures regardless of technique remains obtaining anatomic reduction with stable fixation and the implementation of early motion.

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Keywords : Distal humerus fractures, Parallel plating, Orthogonal plating, Open reduction and internal fixation