Ao Association Osteosynthesis

Ao Association Osteosynthesis-51
With a mean MEPS of 85 points, 36 results (36/39 [92%]) were rated as excellent or good.The mean DASH was 22.5 points, and the ROM for extension-flexion was 105° (range, 50–145).

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Comparative stability of perpendicular versus parallel double-locking plating systems in osteoporotic comminuted distal humerus fractures J Orthop Res 2008 ; 26 : 778-784 [cross-ref]Mehling I., Schmidt-Horlohe K., Muller L. Locking reconstruction double plating of distal humeral fractures: how many screws in the distal ulnar column segment in A3 fracture provide superior stability?

Mechanical comparison in cadaver specimens of three different 90-degree double-plate osteosyntheses for simulated C2-type distal humerus fractures with varying bone densities J Orthop Trauma 2008 ; 22 : 113-120 [cross-ref]Stoffel K., Cunneen S., Morgan R., and al. Outcome after open reduction and angular stable internal fixation for supra-intercondylar fractures of the distal humerus: preliminary results with the LCP distal humerus system Arch Orthop Trauma Surg 2008 ; 128 : 723-729 [cross-ref]Rubberdt A., Surke C., Fuchs T., and al.

There is still controversy concerning the value and proper indications for the use of locking plate systems in the treatment course of distal humerus fractures.

To date, there are no studies comparing conventional plate and angular-stable plate osteosynthesis.

angular-stable double plate system Z Orthop Unfall 2010 ; 148 : 300-308 [cross-ref]].

The introduction of angular-stable implants revolutionized the operative treatment of many fractures at different anatomic sites, particularly in situations with multifragmentary and osteopenic fractures.

Except for extension deficit, no statistically significant differences were found between the articular simple and articular complex fractures and when comparing the results between patients with and without a major complication.

The anatomically precontoured and angular-stable double-plate system provides sufficient immediate postoperative stability to allow early physiotherapy, even in C3-type fractures.

Yet, there is no consensus concerning the orientation of the plates at the columns [13]. Surgical treatment of complex distal humeral fractures: functional outcome after internal fixation using precontoured anatomic plates J Shoulder Elbow Surg 2010 ; 19 : 524-532 [cross-ref]Schmidt-Horlohe K., Bonk A., Wilde P., and al.

The lack of stability and the complex anatomy of the distal humerus led to the development of anatomically preshaped implants that provide good clinical results, although complication rates remained considerably high [16Theivendran K., Duggan P. Functional results after osteosynthesis of the distal humerus fracture with an anatomically precontoured.

.A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction.plates J Orthop Trauma 2004 ; 18 : 286-293 [cross-ref]Papaioannou N., Babis G. Operative treatment of type C intra-articular fractures of the distal humerus: the role of stability achieved at surgery on final outcome Injury 1995 ; 26 : 169-173 [cross-ref]].

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