We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Distale Humerusfrakturen.
- Authors
Jaecker, Vera; Steinmeier, Annika; Kim, Ji Won; Stöckle, Ulrich; Märdian, Sven
- Abstract
Distal humerus fractures are often severe, joint-involving injuries that frequently present with concomitant neurovascular injuries and soft tissue damage. Most fractures require surgical treatment to allow for an early range of motion follow-up. The surgery aims to achieve an anatomic, stable reconstruction as a prerequisite for restoring function and weight-bearing of the elbow joint. Open reduction and internal fixation is usually performed for most fracture types, with anatomically bicolumnar locking plates that can be positioned in a 90° or 180° configuration most commonly performed for joint-involving fractures. A detailed fracture analysis with planning of patient positioning, approaches and the choice of implants should precede the surgical treatment. Total elbow replacement may be considered in comminuted osteoporotic fractures where the articular surface cannot be reconstructed. Clinical outcomes of surgically treated distal humerus fractures depend primarily on the fracture type and the anatomical reduction, as well as the presence of concomitant nerve injury. The most common postoperative complications include partial elbow joint stiffness, heterotopic ossification, posttraumatic osteoarthritis, and damage to the ulnar nerve.
- Subjects
ULNAR nerve injuries; METAPLASTIC ossification; HUMERAL fractures; OPERATIVE surgery; OPEN reduction internal fixation; SURGICAL complications; CONTINUING education units; OSTEOARTHRITIS; ELBOW fractures
- Publication
OUP - Orthopädische und Unfallchirurgische Praxis, 2023, Vol 12, Issue 6, p288
- ISSN
2193-5785
- Publication type
Article
- DOI
10.53180/oup.2023.0288-0296