Healing process after rigid plate fixation of humeral shaft fractures revisited
Objective The purpose of this study was to describe the radiological healing process after open reduction and internal fixation (ORIF) of humeral shaft fractures with plate. Materials and methods We reviewed the data of 53 consecutive patients who had undergone rigid plate fixation of OTA 12 A or B...
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| Veröffentlicht in: | Archives of orthopaedic and trauma surgery 2013-06, Vol.133 (6), p.811-817 |
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| creator | Yi, Ju Won Oh, Jong-Keon Han, Seung-Beom Shin, Sang-Jin Oh, Chang-Wug Yoon, Yong-Cheol |
| description | Objective
The purpose of this study was to describe the radiological healing process after open reduction and internal fixation (ORIF) of humeral shaft fractures with plate.
Materials and methods
We reviewed the data of 53 consecutive patients who had undergone rigid plate fixation of OTA 12 A or B humeral shaft fracture. The mean age of the patients at the time of surgery was 39.4 (range 16–82). Quality of reduction and healing process was analysed on radiographs. Clinical symptom and disabilities of the arm, shoulder and hand (DASH) scores were recorded at follow-up visits.
Results
There were 28 compression and 25 neutralization platings. The mean gap size on the postoperative radiograph was 1.4 (range 0.1–6.1). 50 cases (94.3 %) healed, while three cases ended up with non-union. 28 (52.8 %) cases showed primary healing and 22 cases (41.5 %) showed secondary healing with callus bridging. Among the cases with secondary healing, callus formation with resorption was identified in 13 cases. The type of fracture, mode of compression and size of gap on radiographs after rigid plate fixation were found to be statistically significant factors for healing type (
p
= 0.026, 0.002, and |
| doi_str_mv | 10.1007/s00402-013-1727-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1353041746</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2261977517</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-eeaf908b7c9f454c36b4ef32289bebf1700e232336bb283e456c4bbe6490a6303</originalsourceid><addsrcrecordid>eNp1kE1LAzEURYMotlZ_gBsJuHEz-vIxk85Silqh0I2uQ2b60qbMR01mRP-9KVMVBFeB5Lz7bg4hlwxuGYC6CwASeAJMJExxlcgjMmZSyETkLDsmY8hFlkwhZSNyFsIWgPFpDqdkxEUquFB8TJZzNJVr1nTn2xJDoMZ26Kl3a7eiu8p0SK37MJ1rG9pauulr9KaiYRM5ar0pu95joB7fXXAdrs7JiTVVwIvDOSGvjw8vs3myWD49z-4XSRnXdgmisTlMC1XmVqayFFkh0Qoe-xVYWKYAkMeK8b7gU4EyzUpZFJjJHEwmQEzIzZAbe7_1GDpdu1BiVZkG2z5oFn8IkimZRfT6D7pte9_EdprzjOVKpUxFig1U6dsQPFq98642_lMz0HvberCto229t61lnLk6JPdFjaufiW-9EeADEOJTs0b_u_r_1C9f44lj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2261977517</pqid></control><display><type>article</type><title>Healing process after rigid plate fixation of humeral shaft fractures revisited</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Yi, Ju Won ; Oh, Jong-Keon ; Han, Seung-Beom ; Shin, Sang-Jin ; Oh, Chang-Wug ; Yoon, Yong-Cheol</creator><creatorcontrib>Yi, Ju Won ; Oh, Jong-Keon ; Han, Seung-Beom ; Shin, Sang-Jin ; Oh, Chang-Wug ; Yoon, Yong-Cheol</creatorcontrib><description>Objective
The purpose of this study was to describe the radiological healing process after open reduction and internal fixation (ORIF) of humeral shaft fractures with plate.
Materials and methods
We reviewed the data of 53 consecutive patients who had undergone rigid plate fixation of OTA 12 A or B humeral shaft fracture. The mean age of the patients at the time of surgery was 39.4 (range 16–82). Quality of reduction and healing process was analysed on radiographs. Clinical symptom and disabilities of the arm, shoulder and hand (DASH) scores were recorded at follow-up visits.
Results
There were 28 compression and 25 neutralization platings. The mean gap size on the postoperative radiograph was 1.4 (range 0.1–6.1). 50 cases (94.3 %) healed, while three cases ended up with non-union. 28 (52.8 %) cases showed primary healing and 22 cases (41.5 %) showed secondary healing with callus bridging. Among the cases with secondary healing, callus formation with resorption was identified in 13 cases. The type of fracture, mode of compression and size of gap on radiographs after rigid plate fixation were found to be statistically significant factors for healing type (
p
= 0.026, 0.002, and <0.001, respectively). Three cases with non-union showed no improvement in DASH scores.
Conclusion
Both primary and secondary healing processes were observed after rigid plate fixation of OTA 12 A or B humeral shaft fractures. Our study revealed that size of gap, mode of compression, type of fracture could affect the type of healing, and that periosteal callus formation can occur after rigid plate fixation.</description><identifier>ISSN: 0936-8051</identifier><identifier>EISSN: 1434-3916</identifier><identifier>DOI: 10.1007/s00402-013-1727-4</identifier><identifier>PMID: 23532372</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Bone Plates ; Female ; Fracture Fixation, Internal ; Fracture Healing ; Humans ; Humeral Fractures - diagnostic imaging ; Humeral Fractures - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Orthopedics ; Radiography ; Trauma Surgery ; Young Adult</subject><ispartof>Archives of orthopaedic and trauma surgery, 2013-06, Vol.133 (6), p.811-817</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><rights>Archives of Orthopaedic and Trauma Surgery is a copyright of Springer, (2013). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-eeaf908b7c9f454c36b4ef32289bebf1700e232336bb283e456c4bbe6490a6303</citedby><cites>FETCH-LOGICAL-c372t-eeaf908b7c9f454c36b4ef32289bebf1700e232336bb283e456c4bbe6490a6303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00402-013-1727-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00402-013-1727-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23532372$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yi, Ju Won</creatorcontrib><creatorcontrib>Oh, Jong-Keon</creatorcontrib><creatorcontrib>Han, Seung-Beom</creatorcontrib><creatorcontrib>Shin, Sang-Jin</creatorcontrib><creatorcontrib>Oh, Chang-Wug</creatorcontrib><creatorcontrib>Yoon, Yong-Cheol</creatorcontrib><title>Healing process after rigid plate fixation of humeral shaft fractures revisited</title><title>Archives of orthopaedic and trauma surgery</title><addtitle>Arch Orthop Trauma Surg</addtitle><addtitle>Arch Orthop Trauma Surg</addtitle><description>Objective
The purpose of this study was to describe the radiological healing process after open reduction and internal fixation (ORIF) of humeral shaft fractures with plate.
Materials and methods
We reviewed the data of 53 consecutive patients who had undergone rigid plate fixation of OTA 12 A or B humeral shaft fracture. The mean age of the patients at the time of surgery was 39.4 (range 16–82). Quality of reduction and healing process was analysed on radiographs. Clinical symptom and disabilities of the arm, shoulder and hand (DASH) scores were recorded at follow-up visits.
Results
There were 28 compression and 25 neutralization platings. The mean gap size on the postoperative radiograph was 1.4 (range 0.1–6.1). 50 cases (94.3 %) healed, while three cases ended up with non-union. 28 (52.8 %) cases showed primary healing and 22 cases (41.5 %) showed secondary healing with callus bridging. Among the cases with secondary healing, callus formation with resorption was identified in 13 cases. The type of fracture, mode of compression and size of gap on radiographs after rigid plate fixation were found to be statistically significant factors for healing type (
p
= 0.026, 0.002, and <0.001, respectively). Three cases with non-union showed no improvement in DASH scores.
Conclusion
Both primary and secondary healing processes were observed after rigid plate fixation of OTA 12 A or B humeral shaft fractures. Our study revealed that size of gap, mode of compression, type of fracture could affect the type of healing, and that periosteal callus formation can occur after rigid plate fixation.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Plates</subject><subject>Female</subject><subject>Fracture Fixation, Internal</subject><subject>Fracture Healing</subject><subject>Humans</subject><subject>Humeral Fractures - diagnostic imaging</subject><subject>Humeral Fractures - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Orthopedics</subject><subject>Radiography</subject><subject>Trauma Surgery</subject><subject>Young Adult</subject><issn>0936-8051</issn><issn>1434-3916</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kE1LAzEURYMotlZ_gBsJuHEz-vIxk85Silqh0I2uQ2b60qbMR01mRP-9KVMVBFeB5Lz7bg4hlwxuGYC6CwASeAJMJExxlcgjMmZSyETkLDsmY8hFlkwhZSNyFsIWgPFpDqdkxEUquFB8TJZzNJVr1nTn2xJDoMZ26Kl3a7eiu8p0SK37MJ1rG9pauulr9KaiYRM5ar0pu95joB7fXXAdrs7JiTVVwIvDOSGvjw8vs3myWD49z-4XSRnXdgmisTlMC1XmVqayFFkh0Qoe-xVYWKYAkMeK8b7gU4EyzUpZFJjJHEwmQEzIzZAbe7_1GDpdu1BiVZkG2z5oFn8IkimZRfT6D7pte9_EdprzjOVKpUxFig1U6dsQPFq98642_lMz0HvberCto229t61lnLk6JPdFjaufiW-9EeADEOJTs0b_u_r_1C9f44lj</recordid><startdate>20130601</startdate><enddate>20130601</enddate><creator>Yi, Ju Won</creator><creator>Oh, Jong-Keon</creator><creator>Han, Seung-Beom</creator><creator>Shin, Sang-Jin</creator><creator>Oh, Chang-Wug</creator><creator>Yoon, Yong-Cheol</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20130601</creationdate><title>Healing process after rigid plate fixation of humeral shaft fractures revisited</title><author>Yi, Ju Won ; Oh, Jong-Keon ; Han, Seung-Beom ; Shin, Sang-Jin ; Oh, Chang-Wug ; Yoon, Yong-Cheol</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-eeaf908b7c9f454c36b4ef32289bebf1700e232336bb283e456c4bbe6490a6303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Plates</topic><topic>Female</topic><topic>Fracture Fixation, Internal</topic><topic>Fracture Healing</topic><topic>Humans</topic><topic>Humeral Fractures - diagnostic imaging</topic><topic>Humeral Fractures - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Orthopedics</topic><topic>Radiography</topic><topic>Trauma Surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yi, Ju Won</creatorcontrib><creatorcontrib>Oh, Jong-Keon</creatorcontrib><creatorcontrib>Han, Seung-Beom</creatorcontrib><creatorcontrib>Shin, Sang-Jin</creatorcontrib><creatorcontrib>Oh, Chang-Wug</creatorcontrib><creatorcontrib>Yoon, Yong-Cheol</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of orthopaedic and trauma surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yi, Ju Won</au><au>Oh, Jong-Keon</au><au>Han, Seung-Beom</au><au>Shin, Sang-Jin</au><au>Oh, Chang-Wug</au><au>Yoon, Yong-Cheol</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Healing process after rigid plate fixation of humeral shaft fractures revisited</atitle><jtitle>Archives of orthopaedic and trauma surgery</jtitle><stitle>Arch Orthop Trauma Surg</stitle><addtitle>Arch Orthop Trauma Surg</addtitle><date>2013-06-01</date><risdate>2013</risdate><volume>133</volume><issue>6</issue><spage>811</spage><epage>817</epage><pages>811-817</pages><issn>0936-8051</issn><eissn>1434-3916</eissn><abstract>Objective
The purpose of this study was to describe the radiological healing process after open reduction and internal fixation (ORIF) of humeral shaft fractures with plate.
Materials and methods
We reviewed the data of 53 consecutive patients who had undergone rigid plate fixation of OTA 12 A or B humeral shaft fracture. The mean age of the patients at the time of surgery was 39.4 (range 16–82). Quality of reduction and healing process was analysed on radiographs. Clinical symptom and disabilities of the arm, shoulder and hand (DASH) scores were recorded at follow-up visits.
Results
There were 28 compression and 25 neutralization platings. The mean gap size on the postoperative radiograph was 1.4 (range 0.1–6.1). 50 cases (94.3 %) healed, while three cases ended up with non-union. 28 (52.8 %) cases showed primary healing and 22 cases (41.5 %) showed secondary healing with callus bridging. Among the cases with secondary healing, callus formation with resorption was identified in 13 cases. The type of fracture, mode of compression and size of gap on radiographs after rigid plate fixation were found to be statistically significant factors for healing type (
p
= 0.026, 0.002, and <0.001, respectively). Three cases with non-union showed no improvement in DASH scores.
Conclusion
Both primary and secondary healing processes were observed after rigid plate fixation of OTA 12 A or B humeral shaft fractures. Our study revealed that size of gap, mode of compression, type of fracture could affect the type of healing, and that periosteal callus formation can occur after rigid plate fixation.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>23532372</pmid><doi>10.1007/s00402-013-1727-4</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 0936-8051 |
| ispartof | Archives of orthopaedic and trauma surgery, 2013-06, Vol.133 (6), p.811-817 |
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| language | eng |
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| source | MEDLINE; SpringerNature Journals |
| subjects | Adolescent Adult Aged Aged, 80 and over Bone Plates Female Fracture Fixation, Internal Fracture Healing Humans Humeral Fractures - diagnostic imaging Humeral Fractures - surgery Male Medicine Medicine & Public Health Middle Aged Orthopedics Radiography Trauma Surgery Young Adult |
| title | Healing process after rigid plate fixation of humeral shaft fractures revisited |
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