In Older Adults with Distal Humeral Fractures, Total Elbow Arthroplasty Did Not Differ from Open Reduction-Internal Fixation for Reoperations in the Long Term

2020 ◽  
Vol 102 (10) ◽  
pp. 907
Author(s):  
Edward J. Harvey
Keyword(s):  
Older Adults ◽  
Internal Fixation ◽  
Open Reduction ◽  
Open Reduction Internal Fixation ◽  
Humeral Fractures ◽  
Total Elbow Arthroplasty ◽  
Elbow Arthroplasty ◽  
Distal Humeral Fractures

scholarly journals Comparison of open reduction and internal fixation with total elbow arthroplasty for intra-articular distal humeral fractures in older age: a retrospective study

2020 ◽  
Vol 23 (2) ◽  
pp. 94-99 ◽  
Author(s):  
Baik Jong Seok ◽  
Lee Sung Hyun ◽  
Hyun Tak Kang ◽  
Tae Hyun Song ◽  
Jeong Woo Kim
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Distal Humerus ◽  
Humeral Fractures ◽  
Total Elbow Arthroplasty ◽  
Humerus Fracture ◽  
Dash Score ◽  
Distal Humerus Fracture ◽  
Elbow Arthroplasty ◽  
Distal Humeral Fractures

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.

Complex fractures of the distal humerus in the elderly: primary total elbow arthroplasty or open reduction and internal fixation? Mid-term follow-up

2021 ◽  
Author(s):  
Yaiza Lopiz ◽  
Daniel Garríguez-Pérez ◽  
Carlos García-Fernández ◽  
Laura del Baño ◽  
María Galán-Olleros ◽  
...  
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
The Elderly ◽  
Distal Humerus ◽  
Total Elbow Arthroplasty ◽  
Elbow Arthroplasty ◽  
Complex Fractures
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