How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

409 results for

Humerus Shaft Fracture

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Narrow locking compression plate vs long philos plate for minimally invasive plate osteosynthesis of spiral humerus shaft fractures. (PubMed)

Narrow locking compression plate vs long philos plate for minimally invasive plate osteosynthesis of spiral humerus shaft fractures. Our hypothesis was that minimally invasive plate osteosynthesis (MIPO) using long philos plate (LPP) would show better clinical and radiological outcomes and less complications than narrow locking compression plate (NLCP) for spiral humerus shaft fractures with or without metaphyseal fracture extension.From January 2009 to May 2016, we retrospectively studied 35 (...) patients who underwent MIPO for spiral humerus shaft fractures with or without metaphyseal fracture extension (AO classification 12 A, B, C except A3). Eighteen patients underwent MIPO with a 4.5 mm NLCP (group I) in the early period of this study, while 17 patients underwent MIPO with LPP (group II) in the later period. Range of motion (ROM), pre- and post-operative anteroposterior (AP) and lateral angulation of the fracture, operation time, amount of bleeding, and functional outcomes including

2019 BMC Musculoskeletal Disorders

2. Use of Ayurveda and Sri Lankan traditional medicine for healing shaft of humerus fracture following nonunion (PubMed)

Use of Ayurveda and Sri Lankan traditional medicine for healing shaft of humerus fracture following nonunion Sri Lanka comprises of a well-established traditional orthopedic treatment system. A 14 year old child had a compound fracture over shaft of humerus. The internal fixator Kirschner (k) wire was applied following allopathic treatment and after three weeks, it was removed as there was no healing of wound over fracture site. Patient was asked to follow orthopedic clinic but defaulted (...) and in 6- months time, improved to grade 5. The difference in the QLIOF scores were analyzed using Wilcoxon signed rank test. There was a significant (p = 0.03) difference between the pre-treatment (14) and post-treatment (59) QLIOF scores. The anterior- posterior and lateral X-ray showed complete healing of the fracture. This report indicates that the methods and medicines in Ayurveda and traditional orthopedic system can successfully treat a nonunion of humerus fracture.Copyright © 2018

Full Text available with Trip Pro

2018 Journal of Ayurveda and integrative medicine

3. Surgical interventions to treat humerus shaft fractures: A network meta-analysis of randomized controlled trials. (PubMed)

Surgical interventions to treat humerus shaft fractures: A network meta-analysis of randomized controlled trials. There are three main surgical techniques to treat humeral shaft fractures: open reduction and plate fixation (ORPF), intramedullary nail (IMN) fixation, and minimally invasive percutaneous osteosynthesis (MIPO). We performed a network meta-analysis to compare three surgical procedures, including ORPF, IMN fixation, and MIPO, to provide the optimum treatment for humerus shaft (...) fractures.MEDLINE, EMBASE, Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, and Cochrane library were researched for reports published up to May 2016. We only included randomized controlled trials (RCTs) comparing two or more of the three surgical procedures, including the ORPF, IMN, and MIPO techniques, for humeral shaft fractures in adults. The methodological quality was evaluated based on the Cochrane risk of bias tool. We used WinBUGS1.4 to conduct this Bayesian network meta-analysis. We

Full Text available with Trip Pro

2017 PloS one

4. Antegrade Unreamed Locked Intramedullary Nailing in Open Fractures of Shaft of Humerus (PubMed)

Antegrade Unreamed Locked Intramedullary Nailing in Open Fractures of Shaft of Humerus Open fractures of shaft of humerus have been treated conservatively as well as operatively. Plate osteosynthesis has been considered as the gold standard treatment. Intramedullary nailing also has same success rate in closed fractures. The results of 30 open fractures of shaft humerus fixed with locked unreamed antegrade intramedullary nailing were evaluated.The purpose of the study was to evaluate the role (...) of locked intramedullary nailing in open fractures of shaft humerus in terms of bone union, secondary procedure required, complication, shoulder dysfunction and infection.Of consecutive 365 humeral shaft fractures, 63 fractures were open. Thirty-two patients were operated with plate osteosynthesis, while 31 patients who were treated with locked unreamed intramedullary nails fulfilling the inclusion criteria entered the study.Twenty eight of thirty patients united in mean duration of 10.5 weeks

Full Text available with Trip Pro

2016 Journal of clinical and diagnostic research : JCDR

5. Humerus Shaft Fracture

Humerus Shaft Fracture Humerus Shaft Fracture Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Humerus Shaft Fracture Humerus Shaft (...) Fracture Aka: Humerus Shaft Fracture From Related Chapters II. Signs Evaluate function III. Management: Manipulative reduction with local anesthetic Pitfalls Avoid distraction of fragments Patient positioning Patient sits on stool, leaning forward Support wrist to overcome apprehension should hang free at 90 degrees flexion Reduction Technique Weight of arm alone may reduce Gentle traction downward at wrist Countertraction with a sling around axilla Assistant holds axilla sling and thumb Confirm end

2018 FP Notebook

6. Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach (PubMed)

Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach Management of extra-articular distal humerus fractures presents a challenge to the treating surgeon due to the complex anatomy of the distal part of the humerus and complicated fracture morphology. Although surgical treatment has shown to provide a more stable reduction and alignment and predictable return (...) to function, it has been associated with complications like iatrogenic radial nerve palsy, infection, non-union and Implant failure. We in the present series retrospectively analysed 20 patients with extra-articular distal humerus shaft fractures surgically treated using the extra-articular distal humeral locking plate approached by the triceps-sparing posterolateral approach. The outcome was assessed using the DASH score, range of motion at the elbow and the time to union. The mean time to radiographic

Full Text available with Trip Pro

2016 Strategies in trauma and limb reconstruction

7. Influence of Medial Support Screws on the Maintenance of Fracture Reduction after Locked Plating of Proximal Humerus Fractures (PubMed)

Influence of Medial Support Screws on the Maintenance of Fracture Reduction after Locked Plating of Proximal Humerus Fractures Technical aspects of the correct placement of medial support locking screws in the locking plate for proximal humerus fractures remain incompletely understood. This study was to evaluate the clinical relationship between the number of medial support screws and the maintenance of fracture reduction after locked plating of proximal humerus fractures.We retrospectively (...) evaluated 181 patients who had been surgically treated for proximal humeral fractures (PHFs) with a locking plate between September 2007 and June 2013. All cases were then subdivided into one of four groups as follows: 75 patients in the medial cortical support (MCS) group, 26 patients in the medial multiscrew support (MMSS) group, 29 patients in the medial single screw support (MSSS) group, and 51 patients in the no medial support (NMS) group. Clinical and radiographic evaluations included the Constant

Full Text available with Trip Pro

2018 Chinese medical journal

8. Outcome of Proximal Humerus Fractures :Anatomic Neck Fractures vs Surgical Neck Fractures

topics: Groups and Cohorts Go to Group/Cohort Intervention/treatment ANF anatomic neck fractures of proximal humerus Procedure: Locking plates were used for proximal humeral fractures. SNF surgical neck fractures of proximal humerus Procedure: Locking plates were used for proximal humeral fractures. Outcome Measures Go to Primary Outcome Measures : change of head-shaft angle at 12months from 6months in two groups [ Time Frame: 12months ] Secondary Outcome Measures : change of Offset at 12months from (...) Outcome of Proximal Humerus Fractures :Anatomic Neck Fractures vs Surgical Neck Fractures Outcome of Proximal Humerus Fractures :Anatomic Neck Fractures vs Surgical Neck Fractures - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more

2017 Clinical Trials

9. Minimally Invasive Osteosynthesis with a Bridge Plate Versus a Functional Brace for Humeral Shaft Fractures: A Randomized Controlled Trial

Minimally Invasive Osteosynthesis with a Bridge Plate Versus a Functional Brace for Humeral Shaft Fractures: A Randomized Controlled Trial Nonoperative treatment has historically been considered the standard for fractures of the shaft of the humerus. Minimally invasive bridge-plate osteosynthesis for isolated humeral shaft fractures has been proven to be a safe technique, with good and reproducible results. This study was designed to compare clinical and radiographic outcomes between patients

2017 EvidenceUpdates

10. Anteromedial minimally invasive plate osteosynthesis (MIPO) for distal third humeral shaft fractures - Is it possible?: A cadaveric study. (PubMed)

Anteromedial minimally invasive plate osteosynthesis (MIPO) for distal third humeral shaft fractures - Is it possible?: A cadaveric study. The purpose of this study was to evaluate the feasibility of the anteromedial minimally invasive plate osteosynthesis (MIPO) approach for distal third humeral shaft fractures and identify neurovascular structures at risk with this approach.Twenty cadaveric arms were fixed with 12-hole precontoured narrow locking compression plates (LCP) with the anteromedial (...) insertion must be done with direct exposure. Insertion of percutaneous screws in the middle part of the plate between the two incisions is not possible. This approach could be an alternative for extra-articular distal third humeral shaft fractures which provides less invasive surgical dissection, allows the use of longer distal screws, and achieves better cosmesis.Copyright © 2019 Elsevier Ltd. All rights reserved.

2019 Injury

11. Complications after surgical treatment of proximal humerus fractures in the elderly-an analysis of complication patterns and risk factors for reverse shoulder arthroplasty and angular-stable plating. (PubMed)

Complications after surgical treatment of proximal humerus fractures in the elderly-an analysis of complication patterns and risk factors for reverse shoulder arthroplasty and angular-stable plating. To date, there is a lack of consensus regarding surgical treatment recommendations for complex proximal humerus fracture (PHF) patterns, especially between joint preservation and joint replacement techniques.Between 2012 and 2017, 146 patients (aged 74.1 ± 8.0 years) with complex PHF were treated (...) complication rate was 37.8% for ORIF and 22.0% for RTSA, with a revision rate of 12.1% and 5.1%, respectively, as driven primarily by persistent motion deficits. Multivariate analyses demonstrated no significant differences between the 2 procedures (P = .500). However, age was an independent protective factor against overall complications (P = .018). Risk factors for major complications in ORIF included osteoporosis, varus impaction fractures, posteromedial metaphyseal extensions <8 mm, head-shaft

2019 Journal of Shoulder and Elbow Surgery

12. Treatment of the surgical neck fracture of the humerus with a novel external fixator in the elderly with osteoporosis: biomechanical analysis. (PubMed)

humeral shaft specimens with osteoporosis were randomized into 2 groups. Models with the surgical neck two-part fracture of the proximal humerus were built, in which a novel external fixator (test group) and a clover plate (control group) were applied separately. In the test group, the fracture was firstly fixed with intersection pinning using 3 Schanz pins (3.5 mm), followed by the novel external fixation frame. In the control group, a clover plate and 6 cortical bone screws were applied (...) Treatment of the surgical neck fracture of the humerus with a novel external fixator in the elderly with osteoporosis: biomechanical analysis. No consensus exists on the treatment of proximal humerus fractures, especially in the elderly patients with osteoporosis. This study was aimed to evaluate the biomechanical characteristics of a novel external fixator in treating two-part surgical neck fracture of the proximal humerus in the elderly patients with osteoporosis.Sixteen female elderly

2019 BMC Musculoskeletal Disorders

13. Treatment of a Complex Interprosthetic Humerus Fracture. (PubMed)

Treatment of a Complex Interprosthetic Humerus Fracture. Interprosthetic humeral shaft fractures involving shoulder and elbow arthroplasty can be difficult to manage surgically, both due to fracture and patient characteristics. Adequate fixation can be difficult, given the intramedullary nature of the adjacent implants. Careful attention must be paid to regional anatomy, and care must be taken to not damage the radial or ulnar nerve during dissection and mobilization of the fracture, especially (...) if scar tissue exists from multiple previous surgeries. Finally, fixation strategies must be used to gain stability in areas where there is a cement mantle or well-fixed intramedullary stem to impart the stability required for adequate healing and postoperative mobilization. Biologic augmentation is often used as well, given the relatively poor biologic environment for bone healing. We review our technique for operative fixation of a patient with a humeral shaft fracture between a cemented shoulder

2019 Journal of Orthopaedic Trauma

14. Medial Buttress Plating for Humerus Fractures With Unstable Medial Column. (PubMed)

Medial Buttress Plating for Humerus Fractures With Unstable Medial Column. The purpose of this study was to report surgical tips and techniques on the use of additional medial buttress plate fixation in proximal humeral fractures with unstable medial column restoration after lateral locking compression plate fixation. Between April 2011 and January 2017, 17 patients with medial cortical deficiency were treated using this technique. The average follow-up period was 30 (range, 12-81) months (...) . Successful fracture healing was achieved in all 17 cases. The mean neck-shaft angle change was 1.33 degree (range, 0-7.4 degree). Anterior glenoid rim erosion occurred in 1 patient. No avascular necrosis of the humeral head or significant loss of reduction, and no implant failure or screw perforation occurred. In the first part of this study, we described in detail the indications and surgical technique applied to these fractures. In the second part, we reviewed the clinical and radiographic outcomes

2019 Journal of Orthopaedic Trauma

15. Failure to restore the calcar and locking screw cross-threading predicts varus collapse in proximal humerus fracture fixation. (PubMed)

Failure to restore the calcar and locking screw cross-threading predicts varus collapse in proximal humerus fracture fixation. Varus collapse is a common failure mode of proximal humerus fracture (PHF) fixation. The purpose of this study was to analyze predictors of varus collapse of PHF after open reduction, internal fixation (ORIF).All patients who underwent ORIF of a PHF from January 2008 to July 2018 were identified. Known predictors of fixation failure were assessed, including calcar (...) distance, calcar ratio, and calcar restoration. Additionally, the presence of cross-threaded screws was determined. The primary outcome analyzed was varus collapse of the fracture defined as a change in neck shaft angulation to less than 120°.There were 112 patients identified who underwent ORIF of a PHF that met inclusion criteria. The population was 75.0% female (84/112), average age was 62.5 ± 10.4 years (range 40.0-87.9), and average body mass index was 28.0 ± 5.5 (17.5-46.4). There were 17

2019 Journal of Shoulder and Elbow Surgery

16. Surgical versus non-surgical interventions for treating humeral shaft fractures in adults. (PubMed)

Surgical versus non-surgical interventions for treating humeral shaft fractures in adults. Fractures of the shaft of the humerus account for 1% to 3% of all fractures in adults. The management of these fractures, including surgical intervention, varies widely.To assess and compare the effects of surgical versus non-surgical intervention for non-pathological fractures of the humeral shaft in adults.We searched the Cochrane Bone, Joint and Muscle Trauma Group Specialised Register, the Cochrane (...) Central Register of Controlled Trials, MEDLINE, EMBASE, trial registers, and bibliographies of trial reports. The full search was conducted in October 2011.Considered for inclusion were all randomised and quasi-randomised (method of allocating participants to a treatment which is not strictly random; e.g. by date of birth, hospital record number or alternation) controlled trials that compared surgical with non-surgical intervention for humeral shaft fractures in adults.Two authors independently

Full Text available with Trip Pro

2012 Cochrane

17. An Excellent Study of Operative Versus Nonoperative Treatment of Humeral Shaft Fractures: Commentary on an article by Fabio Teruo Matsunaga, MD, PhD, et al.: "Minimally Invasive Osteosynthesis with a Bridge Plate Versus a Functional Brace for Humeral Shaf (PubMed)

An Excellent Study of Operative Versus Nonoperative Treatment of Humeral Shaft Fractures: Commentary on an article by Fabio Teruo Matsunaga, MD, PhD, et al.: "Minimally Invasive Osteosynthesis with a Bridge Plate Versus a Functional Brace for Humeral Shaf 28375900 2018 10 30 2018 10 30 1535-1386 99 7 2017 04 05 The Journal of bone and joint surgery. American volume J Bone Joint Surg Am An Excellent Study of Operative Versus Nonoperative Treatment of Humeral Shaft Fractures: Commentary (...) on an article by Fabio Teruo Matsunaga, MD, PhD, et al.: "Minimally Invasive Osteosynthesis with a Bridge Plate Versus a Functional Brace for Humeral Shaft Fractures. A Randomized Controlled Trial". e36 10.2106/JBJS.16.01609 Ruch David S DS Duke University Medical Center, Durham, North Carolina. eng Journal Article Comment United States J Bone Joint Surg Am 0014030 0021-9355 AIM IM J Bone Joint Surg Am. 2017 Apr 5;99(7):583-592 28375891 Bone Plates Braces Fracture Fixation, Internal Fracture Healing Humans

2018 The Journal of Bone and Joint Surgery. American Volume

18. HUmeral Shaft Fracture FIXation Study

(to either non-operative treatment or surgical fixation), participants will then be reviewed at several defined timepoints, with a combination of clinical examination, X-rays and patient-reported outcome scores. The investigators hope that study results will enable surgeons to make better-informed decisions when managing patients with humeral shaft fractures. Condition or disease Intervention/treatment Phase Closed Fracture of Shaft of Humerus Procedure: Operative Device: Humeral brace Not Applicable (...) HUmeral Shaft Fracture FIXation Study HUmeral Shaft Fracture FIXation Study - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. HUmeral Shaft Fracture FIXation Study (HU-FIX) The safety and scientific validity

2018 Clinical Trials

19. Arthroscopy-assisted versus standard intramedullary nail fixation in diaphyseal fractures of the humerus. (PubMed)

Arthroscopy-assisted versus standard intramedullary nail fixation in diaphyseal fractures of the humerus. The aim of this study was to assess applicability of arthroscopic technique in intramedullary nail fixation of humerus shaft fractures and to compare with conventional nailing in terms of its effects on perioperative and postoperative intra-articular complication rates as well as on clinical and functional outcomes.This prospective randomized controlled clinical trial included 40 patients

Full Text available with Trip Pro

2018 Journal of orthopaedic surgery (Hong Kong)

20. Plate fixation for management of humerus fractures. (PubMed)

Plate fixation for management of humerus fractures. Proximal humerus, humeral shaft, and distal humerus fractures are all common adult fractures, and often occur in older patients. While the treatment of proximal humerus fractures remains controversial, certain fractures benefit from plate fixation such as fracture-dislocations and head-split fractures. When plate fixation is chosen, anatomic reduction and restoration of the medial calcar are important for successful results. Further research (...) is required to minimize complications and determine the optimal surgical candidates for plate fixation. Humeral shaft fractures are generally treated non-operatively. However, certain shaft fractures warrant plate fixation, such as open fractures, those with associated forearm fractures, and those in poly-trauma patients. Choice of surgical approach and plate depends on the location and type of the fracture. The majority of intra-articular distal humerus fractures should be treated with plate fixation

2018 Injury

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>