Elbow Fractures: Distal Humerus

Wong, Andrew S.; Baratz, Mark E.

doi:10.1016/j.jhsa.2008.10.023

Cited by 67 publications

(37 citation statements)

References 55 publications

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“…1) The elbow is among the joints that are vulnerable to contracture, for which rigid fixation and quick joint movement recovery is important. [2][3][4] Thus far, various operating methods and instruments have been introduced and successful results have been reported in some cases. [5][6][7] The recent trend shows that treatment of transcondylar fractures through the posterior approach is associated with exact articular fixation and early joint mobility after a rigid fixation.…”

Section: Introductionmentioning

confidence: 99%

PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

Park¹,

Kim²,

Oh³

et al. 2015

Clinics in Shoulder and Elbow

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Background: We described a surgical method for osteosynthesis and reported the resultant strength after application of a PHILOS plate through the anterolateral approach for the treatment of fractures of the distal humerus. Methods: Between February 2010 and March 2012, open reduction and internal fixation operations with the PHILOS plate for treatment of fracture of the distal humerus were performed on a total of nine patients (five men, four women). The mean age was 40.8 years (range, 24-50 years), and the average follow-up period was 9.1 months (range, 6-15 months). Clinical evaluations were performed 6 months after the operation. Clinical assessment included determination of the range of motion of the elbow, the Mayo and Oxford elbow scores, and any postoperative complications. Results: Fracture union was noted in all patients, with an average period of 12.4 weeks. The average Mayo elbow and Oxford elbow scores were 87.2 (of a total of 100) and 43.3 (of a total of 48), respectively. For the postoperative range of motion of the elbow, all patients showed complete recovery to the preoperative range of motion. No other conditions, such as neurolepsis, plate breakage, or rotational deformity, were observed. Conclusions: Open reduction and internal fixation of distal humerus fractures with a PHILOS plating system via anterolateral approach can be effective. A high rate of union with good outcomes can be assumed. (Clin Shoulder Elbow 2015;18(3):128-132)

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Section: Introductionmentioning

confidence: 99%

PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

Park¹,

Kim²,

Oh³

et al. 2015

Clinics in Shoulder and Elbow

View full text Add to dashboard Cite

show abstract

“…29 These fractures are notoriously difficult to treat, presenting the surgeon with multiple challenges including the complex anatomy of the elbow joint itself, articular surface comminution, and frequently, osteopenic or osteoporotic bone stock. 41 Anatomic reduction of the joint surface, restoration of the overall anatomic axes of the extremity, and stable fixation allowing for early elbow mobilization are keys to achieving a good surgical outcome. 9,16 Early motion is critically important after open reduction and internal fixation (ORIF) of these fractures 32 because the elbow joint capsule is very prone to scarring, and immobilization past 3 weeks has been linked with poorer outcomes.…”

mentioning

confidence: 99%

Effects of surgical approach on functional outcomes of open reduction and internal fixation of intra-articular distal humeral fractures: a systematic review

Ljungquist

Beran

Awan

2012

Journal of Shoulder and Elbow Surgery

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“…The strength of parallel plating is more according to biomechanical studies [5] . But, the strength of both types of plating is above the required threshold [6] . Hence, additional strength imparted by parallel plating may not be necessary [7] .…”

Section: Discussionmentioning

confidence: 98%

Study of intercondylar fractures of the distal humerus treated with 90-90 plating

Rekha¹

2017

Int. J. Orthop. Sci.

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Intra articular fractures of the distal humerus cause considerable morbidity to the patients. There are several controversies regarding the approach and fixation of the fracture. AO advocated 90-90 plating of both columns while recent biomechanical studies demonstrated superior mechanical strength with parallel plating. But parallel plating is associated with many complications. We performed bicolumnar perpendicular plating in 15 intraarticular AO type C fractures through transolecranon approach. Ulnar nerve was isolated and carefully protected, but ulnar nerve transposition was not done. We achieved union in all cases with functional range of movement in 13 patients. We had no case of post-operatively developed ulnar nerve neuropathy or heterotopic ossification. The average Mayo Elbow Performance Score was 85 points. We infer that 90-90 plating is effective in intercondylar fractures of distal humerus with minimal complications.

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Elbow Fractures: Distal Humerus

Cited by 67 publications

References 55 publications

PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

PHILOS Plate Osteosynthesis in Metaphyseal Fractures of the Distal Humerus through an Anterolateral Approach

Effects of surgical approach on functional outcomes of open reduction and internal fixation of intra-articular distal humeral fractures: a systematic review

Study of intercondylar fractures of the distal humerus treated with 90-90 plating

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