The Role of Total Elbow Arthroplasty in Complex Distal Humeral Fractures

Fractures of the distal humerus are routinely treated by open reduction and internal fixation in an attempt to retain a painless, stable and functional joint. However, results of fixation, even with advances in plate technology, are still dependent on screw purchase and bone quality. Reported result...

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Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2008-04, Vol.34 (2), p.99-104
Main Authors: Patton, Michael S., Johnstone, Alan J.
Format: Article
Language:English
Subjects:
Bone surgery
Critical Care Medicine
Elbow
Emergency Medicine
Focus on Elbow Fractures
Fractures
Intensive
Medicine
Medicine & Public Health
Sports Medicine
Surgery
Surgical Orthopedics
Surgical techniques
Traumatic Surgery
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Description
Summary:Fractures of the distal humerus are routinely treated by open reduction and internal fixation in an attempt to retain a painless, stable and functional joint. However, results of fixation, even with advances in plate technology, are still dependent on screw purchase and bone quality. Reported results, over the past decade, now support consideration of primary total elbow arthroplasty, in cases of highly comminuted distal humeral fractures, especially in the elderly who have low physical demands, or in those who have significant pre-existing inflammatory joint disease resulting in marked joint destruction.
ISSN:1863-9933
1863-9941
DOI:10.1007/s00068-008-8024-x