Surgical treatment of distal intraarticular humeral fractures in adults

Abstract

We reviewed 17 patients with distal intraarticular humeral type C fractures, treated by open reduction and internal fixation, followed by an early rehabilitation programme. The results, as judged by the criteria of Jupiter, were excellent in ten, good in five and fair in two. Non-union of the olecranon osteotomy occurred in one patient.

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

“…[1] These fractures remain one of the most difficult fractures to treat. [2] Anatomic reconstruction of the articular surface and stable internal fixation are the key factors for successful functional outcomes. [3] Adequate exposure of the articular surface is a prerequisite the other hand, some disadvantages with this approach have been reported, such as limited exposure of the articular surface, longer duration of surgery, and weakness of the triceps muscle.…”

Surgical treatment of AO type C distal humeral fractures: Internal fixation with a Y-shaped reconstruction (Lambda) plate

“…2 Since the Arbeitsgemeinschaft Für Osteosynthesefragen (AO)/Association for the Study of Internal Fixation (ASIF) introduced methods for stable internal fixation and reconstruction of the articular surface, 18 improved techniques and instrumentation have made operative results more predictable. 2,4,7,8,14,21 Although a consensus has been reached about the surgical indications in general, the extent and type of internal fixation still remain an issue of debate. 1,12,13 A review of the recent literature confirms that dual plate fixation in 2 planes (orthogonal plate fixation), according to AO principles, has become the most widely used treatment of intraarticular distal humeral fractures in adults.…”

“…1,12,13 A review of the recent literature confirms that dual plate fixation in 2 planes (orthogonal plate fixation), according to AO principles, has become the most widely used treatment of intraarticular distal humeral fractures in adults. 2,8,11,14,19,21,24 We report our results obtained by open reduction and internal fixation using a Y-shaped, mono-block, flat plate, which is moulded on the humerus during operation, the Lambda plate (Zimmer, Warsaw, IN). …”

The functional results of complex distal humeral fractures treated with parallel plate technique

“…Çalışmamızda sadece bir hastada kaynamama ile karşılaşıldı. Olekranon osteotomisi ile ilgili problemler de çoğunlukla transvers osteotomi ile ilişkilendirilmiştir (3). Vakalarımızdan hiç birine transvers osteotomi yapılmadı ve sadece bir hastada osteotomi hattının kaynamadığı görüldü.…”

“…Dirsek fonksiyonların korunması için erken harekete izin veren, stabil bir osteosentez tedavinin temel prensibi olmalıdır (2)(3)(4). Bu kırık tipi osteoporotik, yaşlı hastalarda daha sık görülmekte ve kaynamama ve implant yetmezliği sorunlarına oldukça sık rastlanmaktadır (1).…”