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Orthopaedics
Humeral Shaft Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
3 sections · 96 slides
Overview
- Introduction
- Humeral shaft fractures: overview
- Surgical anatomy
- Course of the radial nerve
- Course of the radial nerve
- Axillary nerve and the deltoid
- Axillary nerve and the deltoid
- Safe zones for pins and screws
- Safe zones for pins and screws
- Clinical and radiological assessment
- History and clinical examination
- Radiological examination
- Radiological examination
- Neurovascular injuries
- Neurovascular injuries
- Radial nerve palsy: explore or observe
- Radial nerve palsy: explore or observe
- Open humeral shaft fractures
- AO/OTA classification
- AO/OTA classification: 12A and 12B
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- AO/OTA classification: 12C and levels
- AO/OTA classification: 12C and levels
- AO/OTA type tree for the humeral shaft
- General treatment principles
- Indications for operative treatment
- Indications for operative treatment
- Implant choice by clinical situation
- Implant choice by clinical situation
- Absolute versus relative stability
- Absolute versus relative stability
- Simple fractures (12A)
- Treatment options: simple fractures
- Treatment options: simple fractures (cont.)
- Decision logic: simple fractures
- Decision logic: simple fractures
- Simple fractures: technique by pattern
- Simple fractures: technique by pattern
- Wedge fractures (12B)
- Wedge fractures: definition
- Wedge fractures: definition
- Treatment options: wedge fractures
- Treatment options: wedge fractures (cont.)
- Decision logic: wedge fractures by level
- Decision logic: wedge fractures by level
- Multifragmentary fractures (12C)
- Multifragmentary fractures: definition
- Segmental fractures: treatment points
- Segmental fractures: treatment points
- Treatment options: multifragmentary
- Treatment options: multifragmentary (cont.)
- Nonoperative treatment
- Nonoperative care: indications and limits
- Nonoperative treatment: steps
- Nonoperative treatment: steps
- Healing, alignment and delayed union
- Healing, alignment and delayed union
Operative technique
- Patient positioning
- Patient positioning
- Surgical approaches to the humeral shaft
- Surgical approaches to the humeral shaft
- Plate position on the humeral shaft
- Plate position on the humeral shaft
- Compression plating: steps
- Compression plating: steps
- Lag screw with protection plate: steps
- Lag screw with protection plate: steps
- Bridge plating principles
- Bridge plating principles
- MIO bridge plating: steps
- MIO bridge plating: steps
- Plating the proximal and distal thirds
- Plating the proximal and distal thirds
- Straight versus bent antegrade nails
- Straight versus bent antegrade nails
- Antegrade nailing: steps
- Antegrade nailing: steps
- Antegrade nailing: pitfalls
- Antegrade nailing: pitfalls
- Retrograde nailing: steps
- Retrograde nailing: steps
- External fixation of the humerus
Aftercare and complications
- Aftercare after operative fixation
- Follow-up and implant removal
- Complications
- Complications
- Take-home messages
- References (1 of 5)
- References (2 of 5)
- References (3 of 5)
- References (4 of 5)
- References (5 of 5)
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