Tag Archives: reduction

PUBLISHED: Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture

Open Reduction and Internal Fixation of a Diaphyseal Periprosthetic Humeral Fracture
Ikechukwu C. Amakiri1; Michael J. Weaver, MD2
1Geisel School of Medicine, Dartmouth College
2Brigham and Women’s Hospital

Periprosthetic humeral shaft fractures are increasing in incidence as shoulder replacements become more common. Surgical management of humeral shaft fractures can only be deemed appropriate when the degree of pain, the extent of disability, and the number of comorbid conditions are taken into consideration.

Among trauma surgeons there exists no preferred surgical approach to fractures of different segments of the humerus; however, the anterolateral approach to midshaft fractures is the most common although viable alternative approaches exist. In this case, we perform an open reduction and internal fixation of a diaphyseal periprosthetic humeral fracture with a posterior triceps sparing approach.

PREPRINT RELEASE: Closed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table

0121-feature-imageClosed Cephalomedullary Nailing of a Diaphyseal Femur Fracture on a Fracture Table
Michael J. Weaver MD
Clinical Instructor, Harvard Medical School Dept. of Orthopaedic Surgery,¬†Brigham and Women’s Hospital

Dr. Weaver treats a periprosthetic femur fracture with the patient positioned supine on a fracture table using a cephalomedullary nail. The fracture table provides adequate traction to assist in reduction of the fracture.