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  1. 21 wrz 2024 · Distal Humerus Fractures are traumatic injuries to the elbow that comprise of supracondylar fractures, single column fractures, column fractures or coronal shear fractures. Diagnosis is made with plain radiographs of the humerus and elbow.

  2. Broad Management Options. Open reduction and internal fixation (ORIF) with plates and screws has been the preferred surgical option for most of these fractures. Elbow arthroplasty has emerged as an alternative surgical option for elderly patients.

  3. distal humerus fxs (type C2 or C3) in women >65yo • Retrospective review of 24 patients • Outcomes – ORIF: 4 excellent, 4 good, 1 fair, 3 poor – TEA: 11 excellent, 1 good • Conclusions: TEA is a viable treatment option for distal intra -articular humerus fxs in women >65yo • McKee et al COTS Study JSES

  4. Understand the anatomy and surgical approaches to the humeral shaft. Understand the indications for nonoperative vs operative management of humeral shaft fractures. Understand the use of functional bracing in humeral shaft fractures. Understand the literature comparing ORIF vs IMN.

  5. 13 paź 2018 · Once the distal humerus is adequately exposed, the bony injury is addressed. The primary goals of surgery are to achieve perfect alignment of all articular surfaces as well as the extra-articular components of the fracture in order to restore the anatomy of the elbow joint.

  6. 18 gru 2023 · Distal humerus fractures can be challenging to treat due to complex anatomy, unique biomechanical forces, poor bone quality in the elderly, and need for early range of motion. Treatment options typically include nonoperative management, open reduction internal fixation (ORIF), or total elbow arthroplasty (TEA).

  7. 12 cze 2021 · Careful preoperative evaluation including type of fracture, quality of bone, pre-existing conditions and functional demand help in deciding optimal treatment. CT scans including 2D and 3D reconstructions are almost mandatory in proper planning of the surgical treatment.

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