Bicolumnar 90-90 Plating of Low-Energy Distal Humeral Fractures in the Elderly Patient
Autor: | Dana J. Farrell, Daniel Leigey, Ivan S. Tarkin, Peter A. Siska |
---|---|
Jazyk: | angličtina |
Rok vydání: | 2014 |
Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Radiography Rehabilitation Osteoporosis Distal humerus Articles lcsh:Geriatrics medicine.disease Surgery Fixation (surgical) lcsh:RD701-811 lcsh:RC952-954.6 Low energy lcsh:Orthopedic surgery medicine Internal fixation Total elbow arthroplasty Orthopedics and Sports Medicine Geriatrics and Gerontology business Elderly patient |
Zdroj: | Geriatric Orthopaedic Surgery & Rehabilitation, Vol 5 (2014) |
ISSN: | 2151-4593 2151-4585 |
Popis: | Fragility fractures of the distal humerus in elderly patients, especially the low transcondylar fracture pattern, can be difficult to optimally manage. Although the fractures are typically low energy resulting in either extra-articular or simple intra-articular patterns, gaining fixation into the distal fragments can be difficult with open reduction internal fixation (ORIF) using traditional 90-90 or parallel plating techniques. Anatomy preserving reconstruction with ORIF is preferred over total elbow arthroplasty (TEA) if possible. In this study, 15 patients were managed with a bicolumnar 90-90 plating construct as a novel method of enhancing distal fixation in these fractures. Fourteen patients went on to radiographic union at an average of 77 days after surgery with an average arc of motion of 105°. One patient was lost to follow-up. Bicolumnar 90-90 plating of distal humerus fractures in elderly patients may represent a viable alternative to traditional ORIF or TEA. |
Databáze: | OpenAIRE |
Externí odkaz: |