Humerusschaftfrakturen stellen eine wiederkehrende Herausforderung im unfallchirurgischen Alltag dar. Neben der Wahl des geeigneten Therapieverfahrens sind das Wissen um die korrekte Aus- und Durchführung der operativen Therapie und die Vermeidung häufiger Fehler in der Anwendung essenziell für niedrige Komplikationsraten und den Behandlungserfolg.
Georg Thieme Verlag KG Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Literatur
1
Ekholm R,
Adami J,
Tidermark J.
et al.
Fractures of the shaft of the humerus. An epidemiological study of 401 fractures. J Bone Joint Surg Br 2006; 88: 1469-1473
2
Rupp M,
Walter N,
Pfeifer C.
et al.
The incidence of fractures among the adult population of Germany – an analysis from 2009 through 2019. Dtsch Arztebl Int 2021; 118: 665-669
3
Bounds EJ,
Frane N,
Jajou L.
et al.
Humeral shaft fractures. Treasure Island (FL): StatPearls Publishing; 2024. Zugriff am 18. August 2024 unter: http://www.ncbi.nlm.nih.gov/books/NBK448074/
5
Sarmiento A,
Zagorski JB,
Zych GA.
et al.
Functional bracing for the treatment of fractures of the humeral diaphysis. J Bone Jt Surg 2000; 82: 478-486
9
Matsunaga FT,
Tamaoki MJS,
Matsumoto MH.
et al.
Minimally invasive osteosynthesis with a bridge plate versus a functional brace for humeral shaft fractures: a randomized controlled trial. J Bone Joint Surg Am 2017; 99: 583-592
10
Smolle MA,
Bösmüller S,
Puchwein P.
et al.
Complications in humeral shaft fractures – non-union, iatrogenic radial nerve palsy, and postoperative infection: a systematic review and meta-analysis. EFORT Open Rev 2022; 7: 95-108
12
Kim JW,
Oh CW,
Byun YS.
et al.
A prospective randomized study of operative treatment for noncomminuted humeral shaft fractures: conventional open plating versus minimal invasive plate osteosynthesis. J Orthop Trauma 2015; 29: 189-194
16
Heitzmann LG,
de Souza Aquino I,
Tenor Junior AC.
et al.
Anatomical study of the safety corridor for bridge plating positioned on the lateral border of the humerus. Surg Radiol Anat 2024; 46: 1439-1445
17
Apivatthakakul T,
Patiyasikan S,
Luevitoonvechkit S.
Danger zone for locking screw placement in minimally invasive plate osteosynthesis (MIPO) of humeral shaft fractures: a cadaveric study. Injury 2010; 41: 169-172
20
Hegeman EM,
Polmear M,
Scanaliato JP.
et al.
Incidence and management of radial nerve palsies in humeral shaft fractures: a systematic review. Cureus 2020; 12: e11490
23
Zhao JG,
Wang J,
Meng XH.
et al.
Surgical interventions to treat humerus shaft fractures: a network meta-analysis of randomized controlled trials. PLoS One 2017; 12: e0173634
25
Wen H,
Zhu S,
Li C.
et al.
Antegrade intramedullary nail versus plate fixation in the treatment of humeral shaft fractures: an update meta-analysis. Medicine (Baltimore) 2019; 98: e17952
26
Li Y,
Wang C,
Wang M.
et al.
Postoperative malrotation of humeral shaft fracture after plating compared with intramedullary nailing. J Shoulder Elbow Surg 2011; 20: 947-954
29
Kapil Mani KC,
Gopal Sagar DC,
Rijal L.
et al.
Study on outcome of fracture shaft of the humerus treated non-operatively with a functional brace. Eur J Orthop Surg Traumatol 2013; 23: 323-328
30
Shields E,
Sundem L,
Childs S.
et al.
The impact of residual angulation on patient reported functional outcome scores after non-operative treatment for humeral shaft fractures. Injury 2016; 47: 914-918
31
Crespo AM,
Konda SR,
Egol KA.
Set it and forget it: diaphyseal fractures of the humerus undergo minimal change in angulation after functional brace application. Iowa Orthop J 2018; 38: 73-77