RT Journal
A1 Nauth, Aaron
A1 McKee, Michael D.
A1 Ristevski, Bill
A1 Hall, Jeremy
A1 Schemitsch, Emil H.
T1 Distal Humeral Fractures in Adults
JF The Journal of Bone & Joint Surgery
JO The Journal of Bone & Joint Surgery
YR 2011
FD April 6
VO 93
IS 7
SP 686
OP 700
DO 10.2106/JBJS.J.00845
UL http://dx.doi.org/10.2106/JBJS.J.00845
AB 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.