Open reduction and internal fixation compared with primary total elbow arthroplasty for displaced intra-articular fractures of the distal humerus in the elderly

2012 ◽  
Vol 23 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Cyril Mauffrey ◽  
Njale Baraza ◽  
Charlie Lewis ◽  
David Seligson

Author(s):  
Yaiza Lopiz ◽  
Daniel Garríguez-Pérez ◽  
Carlos García-Fernández ◽  
Laura del Baño ◽  
María Galán-Olleros ◽  
...  








2020 ◽  
Vol 23 (2) ◽  
pp. 94-99 ◽  
Author(s):  
Baik Jong Seok ◽  
Lee Sung Hyun ◽  
Hyun Tak Kang ◽  
Tae Hyun Song ◽  
Jeong Woo Kim

Background: Intra-articular distal humeral fractures can be surgically challenging. It remains under discussion whether open reduction internal fixation (ORIF) or total elbow arthroplasty (TEA) is more beneficial for treatment of the elderly. This study aimed to compare the clinical and functional outcomes of ORIF and TEA for managing intra-articular distal humerus fractures in patients aged 65 years or older.Methods: Patients who underwent ORIF (n=28) or TEA (n=43) for in intra-articular distal humerus fracture between May 2008 and December 2018 were reviewed. Range of motion, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, radiologic outcomes, and surgical complications were evaluated at the final follow-up visit.Results: The ORIF and TEA groups showed a mean arc of flexion–extension of 97°±21° and 101°±12°, respectively. The mean MEPS and DASH scores were 94±15 and 27±12 points, respectively, in the ORIF group and 81±27 and 47±28 points in the TEA group. This difference was statistically significant. The incidence of total complications was similar between the groups.Conclusions: In patients older than 65 years with intra-articular distal humerus fracture, ORIF had better outcomes than TEA.







2020 ◽  
Vol 34 (2) ◽  
pp. 95-101
Author(s):  
Anthony L. Logli ◽  
Steven F. Shannon ◽  
Chelsea C. Boe ◽  
Mark E. Morrey ◽  
Shawn W. OʼDriscoll ◽  
...  


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