Are outcomes after fixation of distal humerus coronal shear fractures affected by surgical approach? A systematic review and meta-analysis

Fisher, Kalin; Livesey, Michael G.; Sax, Oliver C.; Gilotra, Mohit N.; O’Hara, Nathan N.; Henn, R. Frank; Hasan, Saqib

doi:10.1016/j.jseint.2022.08.011

Cited by 2 publications

(4 citation statements)

References 47 publications

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“…Yoshida et al in 2021 [6] mentioned the association of fracture capitellum and lateral epicondyle fracture and found the outcome to be worse in patients with fracture extension into trochlea and posterior comminution. They used the MEPI score to assess the outcome and found it to be significantly affected by posterior comminution.…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis and treatment of the osteochondral fracture of the distal part of the humerus are not easy. Complex anatomy, difficult exposure, fragile bone stock, and pattern of fracture are the various difficulties encountered by treating surgeons [6]. The most frequent fracture pattern of the fracture of the capitellum is the osteochondral fragment [7].…”

Section: Introductionmentioning

confidence: 99%

“…Failure to reduce anatomically the capitellum and trochlea fracture can alter the range of motion and the stability of the elbow provided by the trochlea [8]. Managing the fracture conservatively which was a previously accepted treatment protocol for these fractures has often led to unsatisfactory results [6]. Closed reduction, fragment excision, arthroscopic assisted internal fixation and open reduction and internal fixation are the various treatment options available for the management of fracture trochlea and capitellum [1].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Management of a Three-Month-Old Mal-United Dubberley Type 2A Distal Humerus Fracture: A Case Report

Sharma,

Mankar,

Sakhare

et al. 2024

Cureus

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Fractures of the capitellum and trochlea are not common in orthopedic trauma and pose certain difficulties to address and manage. On primary x-rays, these fractures are commonly missed, and patients may be treated inadequately resulting in a restricted range of motion. The current case report presents the surgical outcome and challenges faced while managing a 30-year-old male patient with a mal-united capitellum, trochlea, and lateral condyle of humerus fracture. The patient had come with complaints of a restricted range of motion in his dominant hand which affected his livelihood. After undergoing adequate investigations, the patient was posted for an open reduction and internal fixation. The approach used for the procedure and the challenges faced during the surgery have been elaborated in the case report. The patient had shown an increase in the range of motion which was maintained at six-and nine-month follow-ups. Thus, it states that patients with trochlea and capitellum fractures presenting late and having a restricted range of motion can be managed adequately with good outcomes after proper planning.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Surgical Management of a Three-Month-Old Mal-United Dubberley Type 2A Distal Humerus Fracture: A Case Report

Sharma,

Mankar,

Sakhare

et al. 2024

Cureus

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“…Although we do not believe that the anconeus approach is necessary to perform this technique, it was used in our case because we felt that it would provide the best exposure of the medial comminution demonstrated on preoperative CT imaging. A recent systematic review 12 comparing approaches for fixation of coronal shear fractures found insufficient evidence to recommend one approach over another, which may suggest a case-by-case assessment of the fracture pattern is necessary.…”

Section: Discussionmentioning

confidence: 99%

Open Reduction and Internal Fixation of a Type IV Capitellum Fracture Through a Transolecranon Tunnel

Ulery

Stegelmann

Phillips

2023

JBJS Case Connector

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Case: A 60-year-old woman sustained a type IV capitellum fracture from falling on an outstretched arm. Open reduction internal fixation (ORIF) was performed using an anconeus approach, and a transolecranon tunnel was created to place a trochlear screw. The patient showed good clinical outcomes with almost full range of motion at 6 months. Conclusion:With type IV capitellum fractures, the olecranon often obstructs the screw trajectory necessary for anterior-to-Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C104).

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Are outcomes after fixation of distal humerus coronal shear fractures affected by surgical approach? A systematic review and meta-analysis

Cited by 2 publications

References 47 publications

Surgical Management of a Three-Month-Old Mal-United Dubberley Type 2A Distal Humerus Fracture: A Case Report

Surgical Management of a Three-Month-Old Mal-United Dubberley Type 2A Distal Humerus Fracture: A Case Report

Open Reduction and Internal Fixation of a Type IV Capitellum Fracture Through a Transolecranon Tunnel

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