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Axillary nerve elongation in humeral fracture plating: A cadaveric study for comparison between straight and helical Philos plates. | LitMetric

AI Article Synopsis

  • The study focused on the use of helical plating for humeral fractures while ensuring the safety of the axillary nerve during plate insertion.
  • The research involved testing different lengths and shapes of Philos plates on 42 human humeri to measure how far the plate is from the bone.
  • Results indicated that helical plates had a shorter distance from the bone, suggesting reduced stretching of the axillary nerve and a lower risk of nerve injury.

Article Abstract

Unlabelled: Helical plating is a known concept in humeral fracture treatment. Attention should be paid to the axillary nerve when inserting a plate underneath the deltoid muscle. The purpose of this cadaveric study was to estimate axillary nerve stretching when introducing the plate.

Methods: On 42 fresh frozen human humeri, an 8-, 10- and 12-hole Philos plate in a straight and a helical shape were compared measuring the maximum plate-bone-distance.

Results: For all three plate lengths, the helical plates had a significantly lower plate-bone-distance.

Conclusion: Indirectly, this suggests a lower axillary nerve elongation and hence less chance of nerve damage.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013103PMC
http://dx.doi.org/10.1016/j.jor.2020.02.009DOI Listing

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