RESUMO
Proximal humerus fracture is one of the common fractures seen in practice. Being metaphyseal region, it is less prone for nonunion. Although more than 80% of these heal with no surgical intervention, displaced unimpacted surgical neck fractures are associated with a higher incidence of nonunion with rates varying from less than 1% to as high as 23%. We report a case of 35-year-old male with nonunion following fracture of left proximal humerus.
RESUMO
Volar plating seems to indicate that many surgeons believe it leads to superior results, and is attractive because of the ease of the operative approach and the soft tissue sleeve to protect digital and wrist tendons. And also it have a locking mechanism to produce the fixed angle device with a low profile and may be thought to be a new era in the surgical treatment of dorsally displaced distal radius fractures even in the face of comminuted or osteoporotic bone. Locked volar plating allows direct fracture reduction, stable fixation and provides stability enough to allow early mobilization and function. The results with volar locking or fixed angle fixation for the general treatment of unstable distal radius fractures in elderly patients has been favorable. Volar plating has fewer complications than external fixation and dorsal plating and allow for earlier return to function. The current indications, technical aspects, clinical results, and complications of the volar plating are being reviewed.