Distal humeral fractures in adults.

  • Nauth A
  • McKee M
  • Ristevski B
 et al. 
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Distal humeral fractures in adults are relatively uncommon injuries that require operative intervention in the majority of cases. Dual plate fixation, with placement of a separate strong plate on each column and orientation of the plates either at 90° or 180° to each other, is indicated for all adult fractures involving both columns of the distal part of the humerus. Acute total elbow arthroplasty is the preferred treatment for elderly patients with a displaced, comminuted, intra-articular distal humeral fracture that is not amenable to stable internal fixation. Displaced coronal shear fractures of the distal humeral articular surface require operative fixation, most typically via a lateral approach.

Author-supplied keywords

  • Aged
  • Arthroplasty, Replacement, Elbow
  • Arthroplasty, Replacement, Elbow: adverse effects
  • Arthroplasty, Replacement, Elbow: methods
  • Bone Plates
  • Bone Screws
  • Elbow Joint
  • Elbow Joint: injuries
  • Elbow Joint: surgery
  • Female
  • Follow-Up Studies
  • Fracture Fixation, Internal
  • Fracture Fixation, Internal: instrumentation
  • Fracture Fixation, Internal: methods
  • Fracture Healing
  • Fracture Healing: physiology
  • Humans
  • Humeral Fractures
  • Humeral Fractures: epidemiology
  • Humeral Fractures: radiography
  • Humeral Fractures: surgery
  • Incidence
  • Injury Severity Score
  • Male
  • Middle Aged
  • Postoperative Complications
  • Postoperative Complications: physiopathology
  • Range of Motion, Articular
  • Range of Motion, Articular: physiology
  • Recovery of Function
  • Recovery of Function: physiology
  • Risk Assessment
  • Treatment Outcome

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  • Aaron Nauth

  • Michael D McKee

  • Bill Ristevski

  • Jeremy Hall

  • Emil H Schemitsch

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