Upper Extremity

The upper extremity plays a vital role in everyday activities, and injuries to this region can significantly impact a person’s quality of life.

How to treat Upper Extremity?

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Upper Extremity Trauma deals with

Various orthopedic surgeries related to the upper extremity, including PHILOS for proximal humerus fractures, plating and nailing of the humerus, complicated elbow surgeries, forearm surgeries, and hand and wrist surgeries.

A) PHILOS for Proximal Humerus Fractures:

Proximal humerus fractures are common injuries, particularly in older adults. PHILOS (Proximal Humerus Internal Locking System) is a surgical technique used to stabilize and promote healing in complex fractures of the proximal humerus. The PHILOS plate is a specialized implant that provides stable fixation and allows early mobilization.

B) Plating and Nailing of the Humerus:

Plating and nailing are surgical procedures commonly used to treat fractures of the humerus shaft. These techniques involve the use of metal plates or nails to stabilize the fractured bone and promote healing. The choice of plating or nailing depends on factors such as fracture location, pattern, and the surgeon’s preference.

C) Complicated Elbow Surgeries:

The elbow joint is susceptible to various injuries that may require surgical intervention. Some common complicated elbow surgeries include:

Supracondylar and Intercondylar Fractures: Supracondylar and intercondylar fractures are fractures that occur near the elbow joint. Surgery is often necessary to realign the fractured bones and stabilize them using techniques such as open reduction and internal fixation (ORIF).
Elbow Dislocations: Elbow dislocations occur when the bones of the elbow joint are forced out of their normal positions. Surgery may be required to reduce the dislocation and repair any associated ligament or soft tissue damage.
Radial Head Replacement: In cases of severe radial head fractures or unreconstructable injuries, radial head replacement surgery may be necessary. This procedure involves replacing the damaged radial head with an artificial implant to restore stability and function to the elbow joint.
Olecranon Fractures and Fixations: Olecranon fractures involve a break in the bony prominence at the back of the elbow. Surgical treatment may involve open reduction and internal fixation (ORIF) using screws, plates, or tension bands to stabilize the fractured bone and facilitate proper healing.

D) Forearm Surgeries:

The forearm is susceptible to fractures and injuries that may require surgical intervention. Some common forearm surgeries include:

TENS Nailing: Intramedullary nailing, such as titanium elastic nailing system (TENS), is a surgical technique used to treat forearm fractures. This procedure involves inserting nails into the medullary canal of the forearm bones (radius and ulna) to stabilize the fracture and promote healing.
ORIF Surgeries for All Fractures of the Forearm: Open reduction and internal fixation (ORIF) is a surgical technique used to treat complex or unstable fractures of the forearm. It involves realigning the fractured bones and securing them with plates, screws, or other fixation devices to facilitate proper healing.

E) Hand and Wrist Surgeries:

The hand and wrist are intricate structures with a complex arrangement of bones, tendons, ligaments, and nerves. Some common hand and wrist surgeries include:

CMR and K-wiring of Metacarpal and Phalanx Fractures: Closed reduction and percutaneous pinning (CRPP), also known as closed manipulation and reduction (CMR) and K-wiring, is a surgical technique used to treat fractures of the metacarpals and phalanges. This procedure involves aligning the fractured bones and securing them using wires or pins to promote healing.
Miniplatings for Hand Fractures: Miniplating is a technique used to stabilize fractures in the hand. It involves using small plates and screws to fixate the fractured bone fragments, allowing for early mobilization and optimal healing.
ORIF Procedures: Open reduction and internal fixation (ORIF) may be necessary for more complex hand fractures, involving the use of plates, screws, or other fixation devices to stabilize the fracture and facilitate proper healing.

Conclusion:

Orthopedic surgeries for upper extremity injuries play a vital role in restoring function and relieving pain. Procedures such as PHILOS for proximal humerus fractures, plating and nailing for humeral fractures, complicated elbow surgeries, forearm surgeries, and hand and wrist surgeries are tailored to each patient’s specific condition and aim to promote optimal healing and restore functionality. If you have any concerns or require specific information regarding these surgeries, it is best to consult with an orthopedic specialist for a personalized evaluation and treatment plan.