Distal Humeral Comminuted Intra-articular Fractures - Sally Tennant 21/2/2001

COMMINUTED, INTRA-ARTICULAR DISTAL HUMERAL #S

BACKGROUND

Type AO- C #s

First described by Desault in 1811

Uncommon #, recommendations for treatment have varied widely

MUA & POP, Skeletal traction, C&C, ORIF, excisional arthroplasty, Primary TER.

Over last 10 years, general concensus that best treated operatively.

Primary TER may have a place eg in very comminuted #s in elderly pts, RA.

Author	Zagorski JB et al (Miami)
Title
Reference	Clin Ortho 202:197-204 1986
Summary	42 #s, 6 yr period, FU av 26/12. Compared ORIF and early ROM in 29 with 13 non-surgical - c&c, sk traction, MUA & POP. 2 excisional arthroplasty. 76% of ORIF gp had excellent or good surgical result.
Critique	Small no.s, retrospective, no classification, multiple injuries in at least 15, mixed open and closed, 2 open injuries had no debridement, no definition of "early" ROM.

Please log in to view the content of this page.
If you are having problems logging in, please refer to the login help page.

Orthoteers is a non-profit educational resource. Click here for more details

	Coronoid Fractures - Chris Huber 1...
	Distal Humeral Comminuted Intra-art...
	Elbow Instability - Callum Clark 1...
	Fractures of the coronoid process ...
	Olecranon Fractures - Simon Colerid...
	Radial Head Fractures - Alistair Je...
	Radial Head Fractures and Elbow Ins...