Intercondylar T-Shaped Fractures of the Humerus

Brown, Robert; Morgan, R.

doi:10.1302/0301-620x.53b3.425

Cited by 73 publications

(14 citation statements)

References 4 publications

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“…The cuff is removed after six weeks and the elbow is then mobilised. Good results have been reported using this method in a "bag of bones" osteoporotic setting [1]. In contrast, other authors reported worse results on nonoperated patients versus operated patients in terms of pain, function and range of motion [13].…”

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.

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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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“…Disadvantages are non-union and hardware prominence related to osteotomy and linked visualization of anterior articular surfaces. 3 In present study we used 3.5 mm reconstruction plates of appropriate size mostly which will be contoured according to the need and appropriate size cortical screws along with Kirschner wires and stainless steel wires for tension band wiring of osteotomised olecranon. Patient was placed in a lateral decubitus.…”

Section: Methodsmentioning

confidence: 99%

Management of Arbeitsgemeinschaft fur osteosynthesefragen type C fractures of distal humerus in adults with two column fixation

et al. 2016

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Background: Accurate reconstruction of articular surface of distal humerus by closed manipulation is not possible. The recent trend for displaced intra-articular fractures of the distal humerus is open reduction and stable osteosynthesis with early rehabilitation. The best exposure of both columns of the distal part of the humerus and articular surface is achieved through trans-olecranon approach. Objective of the study was to evaluate the management and outcome of two column fixation of intra-articular fracture of distal humerus in adults by posterior approach via olecanon osteotomy and to restore early elbow joint function. Methods: Twenty-five cases of intra-articular fractures of distal humerus were treated by open reduction and internal fixation. All the patients were of adult age group. Chevron type olecranon osteotomy was performed and fixed with tension band wiring in all cases and follow-up period was upto 36 months. Regular clinical examination and periodical radiological evaluation were done. Results: All fractures united within average duration of 3 months. Results were evaluated as per Mayo Elbow Performance Score. According to this criteria, excellent result was achieved in 8 patients (32%), good in 13 (52%), fair in 3 (12%) and poor in 1 (4%) patients. Thus satisfactory result was obtained in 96% cases. Conclusions:The critical factors for a successful outcome of intra-articular fractures of the distal humerus depend upon severity of fracture, meticulous surgical technique, stable internal fixation, surgical experimentation and early controlled postoperative mobilization.

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“…성인에 있어 비교적 드문 상완골 원위부의 골절은 대부분 이 주관절면을 침범하는 분쇄 골절로 치료가 어렵고 예후가 좋지 않은 것으로 알려져 왔다 4,11,14,22,26) . 치료 방법으로는 보 존적 치료와 수술적 치료가 있지만 최근에는 보존적 방법보 다는 관혈적 치료를 시행하는 것이 만족할 만한 결과를 얻 기 위한 최상의 방법이며 술 후 주관절 기능에 있어서 중요 하다고 보고되고 있다 6,12,13,30,31) .…”

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“…Morrey의 평가법에 의한 임상적 결과의 판정은 40예 중 우수 15예 (37.5%), 양호 23예 (57.5%), 보통 2예 (5%)이었다 (Table 1) 4,10,19) . 발생 빈도는 Acker- …”

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Treatment in Distal Humerus Fracture with Anatomical Y Plate

et al. 2004

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Purpose:To evaluate the clinical results of this modified anatomical Y-plate in treatment of distal humerus fracture and factors that affect the results. Materials and Methods: From April 1991 to January 2002, 40 cases (16 male, 24 female) of distal humeral fractures were treated using a modified anatomical Y plate. The patient's age, gender, pain, range of motion, instability, function, bone union, and complication were recorded. Results: At the operation, the mean age of patients is 49.5 years (12~74 years) and mean follow up period is 18 months (13~82 months). In the range of motion, mean flexion is 122.1 degrees (75~140 degrees) and mean flexion contracture is 11.4 degrees (0~30 degrees). Results by Morrey's functional evaluation include 15 excellent, 23 good and 2 fair cases. There are 2 excellent and 5 good cases in patients of supracondylar fracture which didn't involve the articular surface (A2, A3 type of AO classification), and 13 excellent, 18 good and 2 fair cases in patients of intracondylar fracture which involve the articular surface (B2, C1, C2, C3 type). But there is no statistical significance in results between two groups. There are 3 excellent, 3 good cases in 6 open fracture and 2 excellent, 6 good and 1 fair case in 9 patients with multiple trauma. The patient's age, gender, open fracture, multiple trauma, and intraarticular fracture did not affect the results. Conclusion: Satisfactory results can be obtained if the modified anatomical Y-plate is used to treat a distal humerus fracture, regardless of many factors affecting the results.

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Intercondylar T-Shaped Fractures of the Humerus

Cited by 73 publications

References 4 publications

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

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

Management of Arbeitsgemeinschaft fur osteosynthesefragen type C fractures of distal humerus in adults with two column fixation

Treatment in Distal Humerus Fracture with Anatomical Y Plate

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