The Lateral Column Plates improve upon the biomechanics of posterior plating by enabling longer screws in the articular fragments to interdigitate with the screws from the medial side. Designed to offer fixation and compression of fractures of the distal humerus by extending down distally, or wrapping around, the medial epicondyle and extending up the condylar ridge. Specifically designed for isolated capitellar fractures and for surgeons who prefer a 90 degree degree plate application. The Acumed Elbow Plating System offers multiple fixation options for fractures of the distal humerus, olecranon, and coronoid, as well as osteotomies of the olecranon. The Acumed system was the first elbow plating system to offer precontoured, parallel distal humerus plates. Long screws in the Lateral Column Plate are designed to interdigitate with screws from the Medial Column Plate, providing a parallel construct for the stabilization of distal humerus fractures.

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In distal humerus fractures, the restoration of stability is important to allow early mobilization and hence more favorable functional outcomes. In this article, we compare the biomechanical stability of perpendicular and parallel locking plating systems for the internal fixation of AO Type C2 distal humerus fractures in osteoporotic bone.

Fractures were simulated in paired cadaveric bones and fixed using either the perpendicular 3. Stability for both constructs appeared to be dependent on bone quality, however the stability of the perpendicular system was generally more sensitive to bone mineral density, indicating a possible need for additional independent interfragmentary screws.

A disadvantage of the parallel locking plate system was wear debris produced by its tapping system. In summary, the biomechanical findings of this study suggest that both locking plate systems allow early mobilization of the elbow in patients with osteoporotic bone following fixation of a comminuted distal humerus fracture.

However, the parallel locking system showed improved stability compared with the perpendicular locking system, and therefore may be more indicated. This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable. Search: Search. Advanced Clipboard. Create file Cancel. Email citation To:. Format: Summary Summary text Abstract Abstract text. Send email Cancel.

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Full-text links Cite Favorites. Abstract In distal humerus fractures, the restoration of stability is important to allow early mobilization and hence more favorable functional outcomes.

Taylor PA, et al. J Orthop Trauma. PMID: Biomechanical comparison of orthogonal versus parallel double plating systems in intraarticular distal humerus fractures. Atalar AC, et al. Acta Orthop Traumatol Turc. Epub Dec Mechanical comparison in cadaver specimens of three different degree double-plate osteosyntheses for simulated C2-type distal humerus fractures with varying bone densities.

Schuster I, et al. Use of orthogonal or parallel plating techniques to treat distal humerus fractures. Abzug JM, et al. Hand Clin. PMID: Review. DeKeyser GJ, et al. Orthop Clin North Am. Epub Feb Show more similar articles See all similar articles.

Cited by 19 articles Midterm clinical and radiological outcomes of the surgical treatment of complex AO type C distal humeral fractures with two different double plate fixation techniques. Ditsios K, et al. Parallel versus orthogonal plate osteosynthesis of adult distal humerus fractures: a meta-analysis of biomechanical studies. Shih CA, et al. Int Orthop. Epub Apr Intra-articular fractures of the distal humerus-a review of the current practice. Zalavras CG, Papasoulis E.

Zalavras CG, et al. Epub Feb 5. Distal Humeral Fractures-Current Concepts. Beazley JC, et al. Open Orthop J. Ul Islam S, et al. Show more "Cited by" articles See all "Cited by" articles. Publication types Comparative Study Actions. Research Support, Non-U. Gov't Actions. MeSH terms Aged Actions. Aged, 80 and over Actions. Bone Screws Actions. Cadaver Actions. Compressive Strength Actions. Equipment Failure Analysis Actions. Female Actions. Humans Actions.

Radiography Actions. Torsion, Mechanical Actions. Full-text links [x] Wiley. Copy Download.


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