Retrospective case series from Mayo Clinic describing a principle-based parallel-plate technique for complex distal humeral fractures — those with severe comminution, bone loss, osteopenia, or failed prior fixation. Evaluates whether adherence to two fixation principles (maximizing distal fragment purchase; linking that fixation to supracondylar stability) can achieve reliable union and permit early rehabilitation in 34 consecutive high-complexity cases.
When you encounter a complex distal humeral fracture — AO type C3, osteopenic bone, comminution, or prior failed fixation.
Parallel plating in the sagittal plane with maximally long interdigitating distal screws outperforms traditional 90-90 plating by creating an arch construct that tolerates immediate active motion without external protection.
Recognize that open fractures in this setting carry substantially higher HO rates and worse functional scores regardless of fixation quality, and counsel patients accordingly.
Retrospective case series from Mayo Clinic describing a principle-based parallel-plate technique for complex distal humeral fractures — those with severe comminution, bone loss, osteopenia, or failed prior fixation. Evaluates whether adherence to two fixation principles (maximizing distal fragment purchase; linking that fixation to supracondylar stability) can achieve reliable union and permit early rehabilitation in 34 consecutive high-complexity cases.
When you encounter a complex distal humeral fracture — AO type C3, osteopenic bone, comminution, or prior failed fixation.
Parallel plating in the sagittal plane with maximally long interdigitating distal screws outperforms traditional 90-90 plating by creating an arch construct that tolerates immediate active motion without external protection.
Recognize that open fractures in this setting carry substantially higher HO rates and worse functional scores regardless of fixation quality, and counsel patients accordingly.