TY - JOUR T1 - Distal Humeral Fractures in Adults AU - Nauth, Aaron AU - McKee, Michael D. AU - Ristevski, Bill AU - Hall, Jeremy AU - Schemitsch, Emil H. Y1 - 2011/04/06 N1 - 10.2106/JBJS.J.00845 JO - The Journal of Bone & Joint Surgery SP - 686 EP - 700 VL - 93 IS - 7 N2 - 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. SN - 0021-9355 M3 - doi: 10.2106/JBJS.J.00845 UR - http://dx.doi.org/10.2106/JBJS.J.00845 ER -