Distal humeral plating of an intramedullary nail periprosthetic fracture

Description: The treatment of distal humeral periprosthetic fractures is not widely described in the literature. We present a difficult clinical scenario of a 72-year-old man who sustained a displaced distal humeral periprosthetic fracture about a Polarus Plus intramedullary nail. In this case, stable fixation was achieved using bicondylar Acumed Mayo congruent Plates using a miss-a-nail technique. Four months following the post operative period, the patient regained satisfactory range of movement with full function and no further complications up to 18 months post fixation. Treatment of such complex periprosthetic fractures is technically achievable and with potentially good results.
Distal humeral plating of an intramedullary nail periprosthetic fracture using a miss-a-nail technique: a case report Khaled M Sarraf, Ravi Singh and Steven A Corbett Cases Journal 2009, 2:6704