| Autor: |
Bellato E; Department of Surgical Sciences, San Luigi Gonzaga Hospital, University of Turin, 10124 Turin, Italy., Giai Via R; University of Turin, 10124 Turin, Italy., Bachman D; University of Missouri, Kansas City, MO 64110, USA., Zorzolo I; University of Turin, 10124 Turin, Italy., Marmotti A; San Luigi Gonzaga Hospital, Orbassano, 10093 Turin, Italy., Castoldi F; Department of Surgical Sciences, San Luigi Gonzaga Hospital, University of Turin, 10124 Turin, Italy. |
| Abstrakt: |
Coronal shear fractures of the distal humerus are rare, frequently comminuted, and are without consensus for treatment. The aim of this paper is to review the current concepts on the diagnosis, classification, treatment options, surgical approaches, and complications of capitellar and trochlear fractures. Computed Tomography (CT) scans, along with the Dubberley classification, are extremely helpful in the decision-making process. Most of the fractures necessitate open reduction and internal fixation, although elbow arthroplasty is an option for comminuted fractures in the elderly low-demand patient. Stiffness is the most common complication after fixation, although reoperation is infrequent. |
