In intra-articular distal humeral fractures: can combined medial-lateral approach gain better outcomes than olecranon osteotomy?

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The combined olecranon osteotomy, lateral paratricipital sparing, deltoid insertion splitting approach for concomitant distal intra-articular and humeral shaft fractures.

Fractures of the distal humerus involving the articular surface can be challenging. The complexity of these fracture patterns increases when the distal fracture is associated with a concomitant humeral shaft fracture with significant proximal extension. The combined exposure technique described here allows for consistent and controlled posterior humeral exposure proximally from the traverse of ...

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Outcome of olecranon osteotomy in the trans-olecranon approach of intra-articular fractures of the distal humerus.

BACKGROUND The trans-olecranon approach has been suggested to improve the visualization of complex intra-articular distal humerus fractures. Significant osteotomy complications have prompted a search for alternative approaches. The purpose of this series was to study the outcome of the olecranon osteotomy in terms of union and complications and the ultimate outcome of the fracture. METHODS Ni...

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بررسی نتایج درمان جراحی شکستگی‌های داخل مفصلی دیستال استخوان بازو (بررسی 46 بیمار)

    Background and Aim: Intra-articular fractures of distal humerus in adults present a controversial challenge for orthopedic surgeons. Minor irregularities of the joint surface of the elbow usually cause some loss of function. This can usually be minimized by early, accurate open reduction with sufficiently rigid fixation to permit immediate motion. The posterior approach combined with Olecra...

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Corrective Osteotomy for Intra-Articular Distal Humerus Malunion

       Background: An intra-articular distal humerus malunion can be disabling. To improve function, reduce pain and/ or prevent further secondary osteoarthritis an intra-articular corrective osteotomy can be considered. Herein we present the indications, practical guidelines for pre- operative planning and surgical technique. Subsequently, we provide long-term results in a small series.   Meth...

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Intra-articular distal humerus fractures.

Distal humeral fractures are relatively rare and complex injuries. With appropriate preoperative planning and execution of surgical technique, good outcomes may be obtained in most patients. Patients should be counseled regarding loss of motion in these injuries, and elderly, osteoporotic patients with extensive comminution should be considered for total elbow arthroplasty as an alternative to ...

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ژورنال

عنوان ژورنال: Turkish Journal of Trauma and Emergency Surgery

سال: 2019

ISSN: 1306-696X

DOI: 10.14744/tjtes.2019.69486