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Video preload image for Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture
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  • 1. Introduction
  • 2. Exposure
  • 3. Reduction
  • 4. Lag Screws
  • 5. Plate Fixation
  • 6. Closure
  • 7. Post-op Remarks

Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture

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Ikechukwu C. Amakiri1; Michael J. Weaver, MD2
1Geisel School of Medicine, Dartmouth College
2Brigham and Women's Hospital

Procedure Outline

  1. Posterior Skin Incision
  2. Dissection Lateral to Triceps Muscle
  3. Identify Proximal and Distal Fragments
  4. Debride Fracture
  1. Clamp Humerus Out to Length
  2. X-Ray Confirmation
  3. Dissect Triceps from Distal Fragment
  4. Select Plate
  1. Drill Across Fracture
  2. Countersink
  3. Measure for Screw Length
  4. Insert Screw
  5. Repeat for 2nd Screw
  1. Position Plate
  2. X-Ray Confirmation
  3. Contour Plate
  4. Provisional K-Wire Fixation
  5. Drill, Measure, and Insert Screws
  6. Final X-Rays and Radial Nerve Review
 

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Filmed At:

Brigham and Women's Hospital

Article Information

Publication Date
Article ID119
Production ID0119
Volume2023
Issue119
DOI
https://doi.org/10.24296/jomi/119