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Title
1. Introduction
2. Exposure
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a. Posterior Skin Incision
b. Dissection Lateral to Triceps Muscle
c. Identify Proximal and Distal Fragments
d. Debride Fracture
3. Reduction
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a. Clamp Humerus Out to Length
b. X-Ray Confirmation
c. Dissect Triceps from Distal Fragment
d. Select Plate
4. Lag Screws
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a. Drill Across Fracture
b. Countersink
c. Measure Screw Length
d. Insert Screw
e. Repeat for 2nd Screw
5. Plate Fixation
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a. Position Plate
b. X-Ray Confirmation
c. Contour Plate
d. Provisional K-Wire Fixation
e. Drill, Measure, and Insert Screws
f. Final X-Rays and Radial Nerve Review
6. Closure
7. Post-op Remarks
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Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture
Ikechukwu C. Amakiri
1
;
Michael J. Weaver, MD
2
1
Geisel School of Medicine, Dartmouth College
2
Brigham and Women's Hospital
Tags:
Orthopaedics
Orthopaedic Trauma
Main Text
Procedure Outline
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Authors
Ikechukwu C. Amakiri
Michael J. Weaver, MD
Filmed At:
Brigham and Women's Hospital
Article Information
Publication Date
11/9/2023
Article ID
119
Production ID
0119
Volume
2023
Issue
119
DOI
https://doi.org/10.24296/jomi/119