Total Elbow Arthroplasty as Primary Treatment for Distal Humeral Fractures in Elderly Patients*

Cobb, Tyson K.; Morrey, B.F.

doi:10.2106/00004623-199706000-00004

Cited by 378 publications

(123 citation statements)

References 11 publications

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“…Some have suggested the Herbert screw for large articular fragments with nearby bony support and buried small threaded K-wires connecting subchondral bone in limited opposing bone [15][16][17]. The latter is what we have considered as a good indication for our method.…”

Section: Complicationsmentioning

confidence: 89%

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Kamrani

Mehrpour

Aghamirsalim

et al. 2011

International Orthopaedics (SICOT)

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Purpose Complex distal humerus fractures are difficult to fix by conventional methods, especially in comminuted low distal humerus fractures. We propose a technique using small diameter K-wires and a plate on the humeral shaft. Methods Between May 2007 and March 2009, 19 patients with poor bone quality showing comminuted or low distal humerus fractures involving the articular surface were referred to our institution and were primarily treated by this technique that we called "pin and plate fixation". We have reviewed all the cases treated by this method. Results The average age was 46 years. All of the patients were followed up for a mean of 12 months and had a good range of motion (the average total arc of flexion-extension was 99°); the average Disabilities of the Arm, Shoulder and Hand (DASH) score was 18 points. The Mayo Elbow Performance Index was measured and the mean score was 88 in our patients. Conclusions In this study, a technique has been evaluated for the treatment of complex distal humerus fractures. We recommend this technique in comminuted, osteoporotic or low distal humerus fractures in which other fixation methods seem difficult or even impossible.

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Section: Complicationsmentioning

confidence: 89%

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Kamrani

Mehrpour

Aghamirsalim

et al. 2011

International Orthopaedics (SICOT)

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“…TEA has proven to be an attractive solution in older patients with this type of fracture (Cobb and Morrey 1997, Garcia et al 2002, Frankle et al 2003. Parsons et al (2005) described the use of a specially designed humeral prosthesis in a series of 11 patients.…”

Section: Discussionmentioning

confidence: 99%

Elbow hemiarthroplasty for acute reconstruction of intraarticular distal humerus fractures: A preliminary report involving 4 patients

Adolfsson

Hammer²

2006

Acta Orthopaedica

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“…After primary TEA, Mayo elbow performance score (MEPS) results have been documented to be 84 % compared to 79 % in secondary TEA [67]. Other studies demonstrated postoperative mechanical failure of TEA in 3-9 % of patients with acute fracture [61,68,69]. As mentioned above, TEA seems to have been showing promising results for complex fracture treatment in the elderly patient suffering from osteoporosis [70].…”

Section: Tt Treatmentmentioning

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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Total Elbow Arthroplasty as Primary Treatment for Distal Humeral Fractures in Elderly Patients*

Cited by 378 publications

References 11 publications

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Pin and plate fixation in complex distal humerus fractures: surgical technique and results

Elbow hemiarthroplasty for acute reconstruction of intraarticular distal humerus fractures: A preliminary report involving 4 patients

Distal humerus fractures: a review of current therapy concepts

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