Operative treatment of type C intercondylar fractures of the distal humerus: Results after a mean follow-up of 2 years in a series of 18 patients

Pajarinen, Jukka; Björkenheim, Jan-Magnus

doi:10.1067/mse.2002.119390

Cited by 152 publications

(88 citation statements)

References 15 publications

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“…[13] On the other hand, delayed union, nonunion, necessity of implant use to repair osteotomy, and prominent hardware that leads to a second surgery are among the disadvantages. [7][8][9]14,15,23,24] Furthermore, nerve supplies of the anconeus muscle might be damaged, as this muscle participates in the dynamic stabilization of the elbow joint, this may cause elbow instability. [23] Wilkinson et al [13] have compared the triceps split, TRAP, and olecranon osteotomy techniques in a cadaveric study.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6] To better visualize the articular surface, olecranon osteotomy, [7][8][9] Bryan-Murrey (triceps reflecting), [10] triceps splitting (Campbell), [11] and triceps-reflecting anconeus pedicle (TRAP) [12] approaches have been used.…”

mentioning

confidence: 99%

“…[13,14] However, olecranon osteotomy has disadvantages such as delayed union, nonunion, avascular necrosis, heterotrophic ossification, and prominent hardware. [7][8][9]14,15] TRAP approach, as defined by O'Driscoll et al, [12] is an alternative approach in these fracture patterns. This approach is a combination of modified Kocher and Bryan-Morrey, mobilizes the triceps and anconeus muscle of the posterior humerus, and also provides adequate exposure of distal humerus.…”

mentioning

confidence: 99%

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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%

mentioning

confidence: 99%

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confidence: 99%

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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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“…Open reduction and internal fixation has become the treatment of choice for fractures of the distal humerus [42][43][44]. Achieving rigid internal fixation and anatomical reconstruction is essential for allowing early ROM exercise, adequate bone healing, and avoiding future cartilage degeneration [45•].…”

Section: Plating Options In Distal Humerus Fracturesmentioning

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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“…The surgeon is faced with technical difficulties such as poor screw purchase and comminuted fracture fragments in soft fragile osteoporotic bone. Although some authors still advocate formal osteosynthesis with plates and report good to excellent results [4,11], Pajarinen and Bjorkenheim found that age over 50, poor bone quality, and immobilisation were poor prognostic factors for success of ORIF [10]. In a retrospective study of 45 patients over age 60, Korner et al found high postoperative rates, predominantly screw loosening and implant failure at the lateral column.…”

Section: Discussionmentioning

confidence: 99%

Fractures of the distal humerus in elderly patients treated with a ring fixator

Burg

Berenstein

Engel

et al. 2010

International Orthopaedics (SICOT)

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The aim of distal humerus fracture treatment is articular surface reduction and stable fixation for early mobilisation and rehabilitation. This is usually performed by open reduction and internal fixation with plates. In the elderly osteoporotic patient this treatment is difficult to achieve due to fixation failure in fragile bone. We present our experience with treatment by closed reduction and external fixation with a non-bridging ring fixator in distal humerus fractures in elderly patients. There were ten females, aged 70-89 (average 78.4). Fracture types (AO/ ASIF) included three supracondylar fractures (type A) and seven intercondylar fractures (type C). All patients were treated by closed reduction and external fixation with a non-bridging ring fixator of the distal humerus and immediate postoperative mobilisation of the elbow. External fixation was removed on an average of 72 days (range 62-90). All fractures united. Average time to union was 56 days. Average range of movement at six months was 22°e xtension lag (range 15°-30°) and 115°flexion (range 110°-120°). Complications included one patient with transient radial palsy and one patient with a superficial decubitus ulcer on the chest wall from the hardware. Minimally invasive treatment by closed reduction and external fixation with a ring fixator is effective for treatment of fractures of the distal humerus in elderly patients with osteoporotic bone. This treatment enables immediate mobilisation of the elbow, and allows return to function. It should be considered an alternative to open reduction and internal fixation or total elbow replacement.

show abstract

Operative treatment of type C intercondylar fractures of the distal humerus: Results after a mean follow-up of 2 years in a series of 18 patients

Cited by 152 publications

References 15 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

Fractures of the distal humerus in elderly patients treated with a ring fixator

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