scholarly journals Open Reduction and Internal Fixation for Lateral Unicondylar Distal Humeral Fractures

2017 ◽  
Vol 7 (2) ◽  
pp. e12
Author(s):  
Arvind von Keudell ◽  
Amin Mohamadi ◽  
Claudia A. Bargon ◽  
Jesse B. Jupiter
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Humeral Fractures ◽  
Distal Humeral Fractures

scholarly journals INTERNAL FIXATION OF TYPE I CAPITELLUM FRACTURE WITH HEADLESS SCREWS: A CASE REPORT

2021 ◽  
Vol 10 (2) ◽  
pp. 70
Author(s):  
Charlie Sanjaya ◽  
I Ketut Gede Arta Bujangga
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Fracture Site ◽  
Humeral Fractures ◽  
Anatomical Reconstruction ◽  
Type I ◽  
Rigid Fixation ◽  
Distal Humeral Fractures ◽  
Capitellum Fracture

Background: Capitellum fractures are relatively rare. Distal humeral fractures that include capitellum and trochlea constitute approximately 6% of all distal humeral fractures and 1% of all elbow fractures. Despite the rarity of these injuries, an increasing number of clinical series have emerged, enhancing our understanding of these fractures.Case Report: A 26-year-old woman came to the emergency department with complaints of swelling and localized pain on the lateral side of her left elbow 2 hours after she fell off her motorcycle. Routine imaging such as plain radiographs and computed tomography scanning confirmed the fracture. She underwent open reduction and internal fixation surgery, stabilization of articular fragments with headless screws, and was fixated by a back slab and arm sling. The patient was also encouraged to do early elbow mobilization to avoid contractures and joint stiffness, routine follow-up every two weeks for a ROM evaluation. Preoperative Mayo Elbow-Performance Index score (MEPI) was 15, and postoperative 100.Discussion: The aim of capitellum fracture treatment is anatomical reconstruction and fixation to reduce the risk of non-union. In this case, we performed open reduction, secured two headless screws, which allow rigid fixation at the fracture site, provide fracture site compression through variable thread pitch design, and remained not removed later. These screws are suitable for use in anteroposterior and posteroanterior directions.Conclusion: The patient at two months follow-up has shown significant improvement. Accurate reduction, stable fracture fixation, and early postoperative mobilization were reported to provide good results with a MEPI score of 100.

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.

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