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Current Concepts Review   |    
Distal Humeral Fractures in Adults
Aaron Nauth, MD, FRCSC1; Michael D. McKee, MD, FRCSC1; Bill Ristevski, MD, FRCSC1; Jeremy Hall, MD, FRCSC1; Emil H. Schemitsch, MD, FRCSC1
1 St. Michael's Orthopaedic Associates, St. Michael's Hospital, 55 Queen Street East, Suite 800, Toronto, ON M5C 1R6, Canada. E-mail address for A. Nauth: aaron.nauth@utoronto.ca
View Disclosures and Other Information
Disclosure: In support of their research for or preparation of this work, one or more of the authors received, in any one year, outside funding or grants in excess of $10,000 from Stryker. In addition, one or more of the authors or a member of his or her immediate family received, in any one year, payments or other benefits in excess of $10,000 or a commitment or agreement to provide such benefits from a commercial entity (Stryker).

Investigation performed at St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada

Copyright © 2011 by The Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2011 Apr 06;93(7):686-700. doi: 10.2106/JBJS.J.00845
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Abstract

Distal humeral fractures in adults are relatively uncommon injuries that require operative intervention in the majority of cases.

Dual plate fixation, with placement of a separate strong plate on each column and orientation of the plates either at 90° or 180° to each other, is indicated for all adult fractures involving both columns of the distal part of the humerus.

Acute total elbow arthroplasty is the preferred treatment for elderly patients with a displaced, comminuted, intra-articular distal humeral fracture that is not amenable to stable internal fixation.

Displaced coronal shear fractures of the distal humeral articular surface require operative fixation, most typically via a lateral approach.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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