RT Journal
T1 Total Elbow Arthroplasty Did Not Differ from Open Reduction and Internal Fixation with Regard to Reoperation Rates
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2009
FD August 1
VO 91
IS 8
SP 2010
OP 2010
DO 10.2106/JBJS.9108.ebo443
UL http://dx.doi.org/10.2106/JBJS.9108.ebo443
AB 
Patients: 42 patients >65 years of age with displaced, comminuted, intra-articular fractures of the distal part of the humerus requiring surgery. Closed fractures, Gustilo grade-I open fractures treated within 12 hours of injury, and Gustilo grade-I open fractures treated elsewhere by irrigation and débridement within 12 hours after injury were included. Exclusion criteria included extra-articular or partial articular fractures; intra-articular fractures not requiring surgery; Gustilo grade-I fractures that had not had irrigation and débridement within 12 hours; Gustilo grade-II, IIIa, IIIb, and IIIc open fractures; associated vascular injury; previous ipsilateral distal humeral fracture; pathologic fractures; fractures with diaphyseal extension =8 cm; definitive surgery >21 days after injury; preexisting severe joint disease; dementia; and substantial comorbid conditions. 40 patients (95%) (mean age, 78 y; 88% women) completed the study.