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Clinical Application and Outcomes of Upper Extremity Double Plating
J Christoph Katthagen1, Benedikt Schliemann1, Philipp A Michel1
1Klinik für Unfall-, Hand- und Wiederherstellungschirurgie, Universitätsklinikum Münster.
Zeitschrift Fur Orthopadie Und Unfallchirurgie
|May 10, 2019
Summary
Dual plating offers enhanced biomechanical stability for complex upper extremity fractures, including the humeral shaft and proximal humerus. This technique improves fixation strength and reduces complications compared to conventional methods.
Area of Science:
- Orthopedic Surgery
- Biomechanical Engineering
Background:
- Dual plating is established for distal humerus fractures.
- Indications have expanded to complex upper extremity fractures, including non-union revisions and primary fixation.
- High biomechanical fixation strength is crucial for areas with high bending and torsional stresses.
Purpose of the Study:
- To provide an overview of current indications for dual plating in upper extremity fractures.
- To outline the technical aspects of dual plating.
- To highlight the advantages of dual plating over conventional fixation techniques.
Main Methods:
- Review of current literature and clinical applications of dual plating.
- Analysis of biomechanical advantages in specific fracture patterns.
- Discussion of technical considerations for complex fractures.
Main Results:
- Dual plating provides superior fixation strength for humeral shaft fractures.
- An anterior plate enhances fixation for proximal humeral fractures and lesser tuberosity fixation.
- Low-profile plates are available for proximal ulna fractures, improving stability and reducing soft tissue irritation.
Conclusions:
- Dual plating is increasingly indicated for complex upper extremity fractures, offering enhanced stability.
- The technique provides biomechanical advantages, particularly in high-stress areas.
- Dual plating combines improved mechanical stability with a reduced risk of implant-related soft tissue irritation.
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