Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases

Gupta, Rakesh; Khanchandani, Prakash

doi:10.1016/s0020-1383(02)00009-8

Cited by 103 publications

(58 citation statements)

References 16 publications

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“…The risk of requiring subsequent hardware removal has been reported as 13% to 30%. [3][4][5][6][7][8] Tak et al [31] have used olecranon osteotomy in ninety-four patients and stated that all the unsatisfactory results (average and poor) were seen in those patients who developed complications related to the olecranon osteotomy (p=0.000, OR 103.2). In the current study, 22% of the patients had implant removal related to the symptom of implants used for olecranon osteotomy repair.…”

Section: Discussionmentioning

confidence: 99%

“…[2] Anatomic reconstruction of the articular surface and stable internal fixation are the key factors for successful functional outcomes. [3] Adequate exposure of the articular surface is a prerequisite the other hand, some disadvantages with this approach have been reported, such as limited exposure of the articular surface, longer duration of surgery, and weakness of the triceps muscle. [13,16] The indications and superiority of these two techniques are a question of debate.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

Azboy¹

2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

Azboy¹

2015

Ulus Travma Acil Cerrahi Derg

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“…Each fracture needs its appropriate exposure and in cases of intra-articular involvement the exposure of the articular surface. Olecranon osteotomy, the triceps-splitting, triceps-sparing, and triceps-lifting approaches being the most frequently performed approaches in the surgical treatment of distal humerus fractures [16][17][18][19][20], we will be giving an overview of the established approaches offering selected indications and an evaluation of the related published data.…”

Section: Surgical Approaches To the Distal Humerusmentioning

confidence: 99%

Distal humerus fractures: a review of current therapy concepts

Steinitz

Sailer

Rikli

2016

Curr Rev Musculoskelet Med

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Fractures of the distal humerus in the adult comprise approximately one third of all humeral fractures. Successful management of distal humerus fractures depends on correct reduction of the fracture, reconstruction of the articular surface if needed, stability and rigidity of the fixation, and appropriate rehabilitation. In this review, we evaluated the available literature and highlighted current therapy concepts. We assessed the evolution of internal fixation and elbow arthroplasty focusing on the established surgical approaches against the background of a growing incidence of distal humeral fractures in an aging patient population. Therefore evaluating the aspect and influence of age-dependent comorbidities like osteoporosis on successful treatment.

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“…[] Rakesh et al [2] analyzed 55 intercondylar fractures of the humerus. The patients were treated with bicolumnar plating on dorsal side of humerus with no ulnar nerve transposition.…”

Section: Discussionmentioning

confidence: 99%

“…Parallel plating implies greater periosteal stripping and elevation of triceps and brachialis. This excessive dissection may be the cause for the increased incidence of ulnar nerve dysfunction and heterotopic ossification seen in the patients treated with parallel plating [2] . Parallel plating of comminuted distal humerus fractures was reported by few authors.…”

Section: Discussionmentioning

confidence: 99%

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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Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases

Cited by 103 publications

References 16 publications

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

Distal humerus fractures: a review of current therapy concepts

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

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