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Minimally invasive percutaneous plating of complex metaphyseal-diaphyseal proximal humeral fractures

Singer, Mohamed S. MD; Moussa, Waleed Mohamed Fathy MD

doi: 10.1097/BCO.0000000000000647
SPECIAL FOCUS: Resident Research Award

Background: Many anatomic, cadaver studies have shown safe anterior and anterolateral percutaneous plating of the humerus; however, there is paucity of information on this in clinical case series. The aim of the current study was to assess outcome of minimally invasive plate osteosynthesis in complex metaphyseal-diaphyseal humeral fractures.

Methods: Eighteen patients with acute, complex, proximal humeral fractures with diaphyseal extension were operated on using a long proximal humeral plate through a percutaneous minimally invasive technique.

Results: Union was obtained in all patients with good alignment and good shoulder and elbow function. The average time to union was 15 wk (range, 9-21 wk). Two patients developed postoperative radial nerve palsy that recovered after 3 wk in the first and 9 wk in the second patient. There were no obvious neurovascular injuries or major complications.

Conclusions: Mini-invasive percutaneous plating of complex metaphyseal-diaphyseal humeral fractures is feasible and safe and has good clinical outcomes.

Department of Orthopedic, Benha University, Banha, Qalyubia, Egypt

Financial Disclosure: The authors report no conflicts of interest.

Correspondence to Mohamed S. Singer, MD, Assistant Professor Orthopedic Department, Benha University, El-Shaheed Farid Nada street, Banha, Qalyubia, Egypt Tel: +01227323479; fax: +0133227491; e-mail:

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