Surgical treatment of bicondylar fractures of the distal humerus

Caja, V. L.; Moroni, Antonio; Vendemia, V.; Sábato, C.; Zinghi, G F

doi:10.1016/0020-1383(94)90268-2

Cited by 63 publications

(29 citation statements)

References 13 publications

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“…24 Alternatively, tricortical bone grafts from the iliac bone might be used to obtain a stable fixation. 29 Both techniques would increase the fixation strength of the construct. We applied both systems as recommended in the manufacturer's surgical technique guide, and filled all possible screw holes.…”

Section: Dual Locking Plates In Distal Humerus Fracturementioning

confidence: 99%

Comparative stability of perpendicular versus parallel double‐locking plating systems in osteoporotic comminuted distal humerus fractures

Stoffel

Cunneen

Morgan

et al. 2008

Journal Orthopaedic Research

134

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In distal humerus fractures, the restoration of stability is important to allow early mobilization and hence more favorable functional outcomes. In this article, we compare the biomechanical stability of perpendicular and parallel locking plating systems for the internal fixation of AO Type C2 distal humerus fractures in osteoporotic bone. Fractures were simulated in paired cadaveric bones and fixed using either the perpendicular 3.5 mm LCP distal humerus plating system (Synthes; Sydney, Australia) or the parallel Mayo Clinic Congruent elbow plate system (Acumed; Hillsboro, OR), using locking screws in both systems. Both systems were then tested for their stiffness (in compression and internal/external rotation), plastic deformation, and failure in torsion. Comparatively, the parallel locking plate system provided a significantly higher stability in compression (p ¼ 0.005) and external rotation (p ¼ 0.006), and a greater ability (p ¼ 0.005) to resist axial plastic deformation. Stability for both constructs appeared to be dependent on bone quality, however the stability of the perpendicular system was generally more sensitive to bone mineral density, indicating a possible need for additional independent interfragmentary screws. A disadvantage of the parallel locking plate system was wear debris produced by its tapping system. In summary, the biomechanical findings of this study suggest that both locking plate systems allow early mobilization of the elbow in patients with osteoporotic bone following fixation of a comminuted distal humerus fracture. However, the parallel locking system showed improved stability compared with the perpendicular locking system, and therefore may be more indicated. ß

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Section: Dual Locking Plates In Distal Humerus Fracturementioning

confidence: 99%

Comparative stability of perpendicular versus parallel double‐locking plating systems in osteoporotic comminuted distal humerus fractures

Stoffel

Cunneen

Morgan

et al. 2008

Journal Orthopaedic Research

134

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“…In younger patients with bone of good quality, a sound surgical technique often gives satisfactory results. 1,2,[7][8][9][10] Osteopenic bone, which is always present to some degree in the elderly population, predisposes to increased comminution and inadequate fixation. While some authors have reported good results in elderly patients [11][12][13][14][15] the same surgical techniques may also be less successful with a higher rate of complications.…”

mentioning

confidence: 99%

“…While some authors have reported good results in elderly patients [11][12][13][14][15] the same surgical techniques may also be less successful with a higher rate of complications. 7,16,17 Total elbow replacement (TER) is successful in patients with inflammatory arthritis, [18][19][20][21] and may be used in the treatment of post-traumatic osteoarthritis, although with less favourable results. 20,22 There are few reports of its utilisation in primary osteoarthritis, 23 and the incidence of complications is higher.…”

mentioning

confidence: 99%

Total elbow replacement for complex fractures of the distal humerus

Gambirasio¹,

Riand²,

Stern³

et al. 2001

The Journal of Bone and Joint Surgery. British volume

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“…[1] Although nonoperative care may be appropriate in some situations, the modern literature strongly supports open reduction and internal fixation (ORIF) of intra-articular distal humerus fractures. [4,5] The surgical goals are to obtain anatomic restoration of the articular surface and recreation of joint alignment with stable internal fixation, secure enough to allow early range of motion. [8] Name & Address of Corresponding Author PinkiRai Demonstrator, Department of Anatomy, SHKM Govt.…”

Section: Introductionmentioning

confidence: 99%

Short Term Evaluation of Intra Articular Fracture Fixation of Distal Humerus in Adults without Olecranon Osteotomy (Triceps Splitting Approach)

Samanta¹,

Dasgupta²,

Ghosh³

et al. 2017

AIMDR

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Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries and elevates the risk of bleeding.

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Surgical treatment of bicondylar fractures of the distal humerus

Cited by 63 publications

References 13 publications

Comparative stability of perpendicular versus parallel double‐locking plating systems in osteoporotic comminuted distal humerus fractures

Comparative stability of perpendicular versus parallel double‐locking plating systems in osteoporotic comminuted distal humerus fractures

Total elbow replacement for complex fractures of the distal humerus

Short Term Evaluation of Intra Articular Fracture Fixation of Distal Humerus in Adults without Olecranon Osteotomy (Triceps Splitting Approach)

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