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CZMEDITECH
The distal humerus is divided into the medial column and the lateral column.
The medial column includes the medial part of the metaphysis of the humerus, the medial epicondyle, and the medial condyle, including the trochlea of the humerus.
The lateral column includes the lateral part of the metaphysis of the humerus, the lateral epicondyle, and the lateral condyle, including the capitulum of the humerus.
Located between the two columns are the anterior coronoid fossa and the posterior olecranon fossa.
This plate is designed for extraarticular fractures of the distal humerus, targeting the metaphyseal region without involving the joint surface. Its locking screws provide angular stability, making it particularly suitable for osteoporotic patients or complex fracture patterns.
The distal humerus is divided into the medial column and the lateral column.
As a crucial part of the elbow joint, distal humerus fractures often result from "direct trauma" (such as a fall landing on the elbow) or "indirect trauma" (such as twisting or throwing actions).
The medial column includes the medial part of the metaphysis of the humerus, the medial epicondyle, and the medial condyle, including the trochlea of the humerus. ·Strong contraction of internal rotator muscles ·Strong contraction of elbow flexor muscles
External forces such as traffic accidents or falls from height can result in comminuted fractures or involve the articular surface.
·Traffic accidents ·Falls from height
Designed for lateral column fractures, this plate is suitable for capitellar or supracondylar fractures, providing mechanical support via a lateral approach to facilitate early rehabilitation.
According to the AO classification system, distal humerus fractures are categorized as follows, directly influencing the choice of treatment strategies:
- A1: Simple fracture, no articular involvement. - A2/A3: Impacted or displaced metaphyseal fractures, attention needed for angular deformities.
Fracture line involves the joint surface but without complete separation; anatomical reduction is necessary to restore joint congruency.
- C1/C2: Simple intra-articular fractures with metaphyseal involvement. - C3: Comminuted intra-articular fractures, the most challenging to treat; stable fixation is needed to reduce the risk of post-traumatic arthritis.. Loc
The AO classification clarifies the severity of the fracture and provides guidance for plate selection (e.g., single vs. dual plates, locking screw designs) to ensure both fixation strength and biological balance.
This plate is an internal fixation solution for medial column fractures of the distal humerus, providing support via a medial approach to prevent varus deformity, often used in cases with coronal plane fractures.
Following the AO philosophy: "Anatomical reduction, stable fixation, and early functional exercise."
External forces such as traffic accidents or falls from height can result in comminuted fractures or involve the articular surface.
Anatomical reduction
Stable fixation
Early functional exercise
Articular displacement >2mm
Open fractures
Combined neurovascular injury
Failure of conservative treatment
Dual Plate Technique
Suitable for type C fractures. Fixation from both medial (e.g., anatomical locking plate) and lateral (e.g., parallel plate) sides provides 3D stability and reduces the risk of postoperative rotational deformity.
Single Plate Technique
Used for type A and partial type B fractures. Pre-contoured plates conforming to distal humerus anatomy minimize soft tissue dissection.
Minimally Invasive Approach
Combined with percutaneous screw placement to reduce infection risk and preserve periosteal blood supply.
Locking plates provide angular stability, especially beneficial for osteoporotic patients.
Anatomical reduction preserves elbow joint mobility to the greatest extent, reducing complications such as nonunion or malunion.
Plates shaped for specific fracture types (e.g., intercondylar ridge support plates) optimize force transmission and accelerate bone healing.
The distal humerus is divided into the medial column and the lateral column.
The medial column includes the medial part of the metaphysis of the humerus, the medial epicondyle, and the medial condyle, including the trochlea of the humerus.
The lateral column includes the lateral part of the metaphysis of the humerus, the lateral epicondyle, and the lateral condyle, including the capitulum of the humerus.
Located between the two columns are the anterior coronoid fossa and the posterior olecranon fossa.
The distal humerus is divided into the medial column and the lateral column.
The medial column includes the medial part of the metaphysis of the humerus, the medial epicondyle, and the medial condyle, including the trochlea of the humerus.
The lateral column includes the lateral part of the metaphysis of the humerus, the lateral epicondyle, and the lateral condyle, including the capitulum of the humerus.
Located between the two columns are the anterior coronoid fossa and the posterior olecranon fossa.