Operative Techniques in Orthopaedics
Volume 20, Issue 1 , Pages 24-33, March 2010

Open Reduction and Internal Fixation of Distal Humerus Fractures

  • Danny P. Goel, MD, FRCSC
  • ,
  • Jeffrey M. Pike, MD, FRCSC
  • ,
  • George S. Athwal, MD, FRCSC

      Affiliations

    • Corresponding Author InformationAddress reprint requests to George S. Athwal, MD, FRCSC, Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, 268 Grosvenor St, London, Canada N6A 4L6

Hand and Upper Limb Centre, St. Joseph's Health Care, University of Western Ontario, London, Canada

Distal humerus fractures are common and represent 2% of all fractures and approximately 30% of those affecting the humerus. The management of distal humerus fractures is complicated by the complex 3-dimensional anatomy of the elbow, the limited bone stock for internal fixation, and often comminuted and osteopenic nature of the articular segment. Surgical treatment should be conducted in a systematic manner to minimize complications. Using the principles of anatomic articular reconstruction with stable fixation to allow early range to motion, good to satisfactory outcomes can be expected in most patients.

Keywords: distal humerus fracture, open reduction and internal fixation, supracondylar, intracondylar, fracture

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PII: S1048-6666(09)00120-7

doi:10.1053/j.oto.2009.09.010

Operative Techniques in Orthopaedics
Volume 20, Issue 1 , Pages 24-33, March 2010