Distal Humerus Fractures in the Elderly: When to Fix and When to Replace?
| Autor: | Ryan Mayer, David A Zuelzer, Andrew M Choo |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Humeral Fractures Activities of daily living medicine.medical_treatment Elbow Distal humerus Fracture Fixation Internal Activities of Daily Living Elbow Joint medicine Internal fixation Humans Orthopedics and Sports Medicine Range of Motion Articular Reduction (orthopedic surgery) Aged business.industry Soft tissue General Medicine Humerus Arthroplasty medicine.anatomical_structure Treatment Outcome Physical therapy Surgery Range of motion business |
| Zdroj: | Journal of orthopaedic trauma. 35(Suppl 5) |
| ISSN: | 1531-2291 |
| Popis: | SUMMARY Distal humerus fractures in the elderly population can be difficult to manage because of substantial articular comminution, poor bone quality, and soft tissue compromise. Important patient considerations for treatment include physiologic age, mental status, activity level, and independence with activities of daily living. Elderly patients may be reliant on their upper extremity as a weight-bearing limb when using a walker or rising to stand which creates additional demand. The goal of surgical treatment is to recreate a stable, painless elbow with a functional range of motion to preserve independence for daily activities and mobilization. The main surgical treatment options are open reduction and internal fixation and arthroplasty. Here, we discuss indications and operative goals in each clinical scenario. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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