Combined Olecranon Osteotomy and the Posterior Minimal Invasive Plate Osteosynthesis Approach for a Concomitant Injury of the Humeral Shaft and a Distal Intraarticular Humerus Fracture
| Autor: | Mohammed Sadiq, Rahul Yadav, Siddhartha Maredupaka, Mayur Nayak, Kamran Farooque |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
musculoskeletal diseases
Humerus fracture medicine.medical_treatment Olecranon Elbow 030204 cardiovascular system & hematology humerus shaft fracture Osteotomy Trauma 03 medical and health sciences Fixation (surgical) 0302 clinical medicine medicine Internal fixation Humerus complex distal humerus fracture Orthodontics business.industry General Engineering olecranon osteotomy medicine.disease musculoskeletal system minimal invasive plate osteosynthesis medicine.anatomical_structure Orthopedics Range of motion business 030217 neurology & neurosurgery |
| Zdroj: | Cureus |
| ISSN: | 2168-8184 |
| Popis: | A complex fracture involving the distal humerus is a difficult fracture to treat and more so when it is involved with the ipsilateral shaft of the humerus. Open reduction and internal fixation of the humeral shaft with articular reconstruction have been described for a successful outcome of these complex fractures. However, it has drawbacks, especially in terms of soft tissue dissection and subsequent scarring and non-union. A 42-year-old female presented to the emergency department with a fracture of the intercondylar humerus with an ipsilateral shaft of the left humerus. Combined olecranon osteotomy with posterior minimal plate osteosynthesis was used to treat this fracture. At the one-year follow-up at the postoperative fracture clinic, there was no pain, the range of motion (ROM) of the elbow was 10 degrees to 140 degrees and the radiograph showed a healed fracture with the implant in situ. We present and review a novel technique to treat complex humerus fractures. Articular fragments can be directly visualized and fixed simultaneously. This approach allows for the biological fixation of the fracture and forms a reliable option for treating such complex fractures. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|