5790 views
Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture
Tags: Orthopaedics
Table of Contents
1. Introduction
2. Exposure
- Posterior Skin Incision
- Dissection Lateral to Triceps Muscle
- Identify Proximal and Distal Fragments
- Debride Fracture
3. Reduction
- Clamp Humerus Out to Length
- X-Ray Confirmation
- Dissect Triceps from Distal Fragment
- Select Plate
4. Lag Screws
- Drill Across Fracture
- Countersink
- Measure for Screw Length
- Insert Screw
- Repeat for 2nd Screw
5. Plate Fixation
- Position Plate
- X-Ray Confirmation
- Contour Plate
- Provisional K-Wire Fixation
- Drill, Measure, and Insert Screws
- Final X-Rays and Radial Nerve Review