Effects of surgical approach on functional outcomes of open reduction and internal fixation of intra-articular distal humeral fractures: a systematic review
| Autor: | Karin L. Ljungquist, Hisham M. Awan, Matthew C. Beran |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
musculoskeletal diseases
Humeral Fractures medicine.medical_specialty Intra-Articular Fractures medicine.medical_treatment Olecranon Elbow Osteotomy Fracture Fixation Internal Intra articular Fracture Fixation Elbow Joint Joint capsule medicine Humans Internal fixation Orthopedics and Sports Medicine Range of Motion Articular Reduction (orthopedic surgery) Fracture Healing Surgical approach business.industry General Medicine musculoskeletal system Surgery Treatment Outcome medicine.anatomical_structure Elbow Injuries business |
| Zdroj: | Journal of Shoulder and Elbow Surgery. 21:126-135 |
| ISSN: | 1058-2746 |
| DOI: | 10.1016/j.jse.2011.06.020 |
| Popis: | Fractures of the distal humerus are uncommon injuries, constituting between 0.5% and 7% of all fractures and 30% of all elbow fractures. Up to 96% of these injuries are intercondylar, or AO type C, distal humeral fractures involving the articular surface. These fractures are notoriously difficult to treat, presenting the surgeon with multiple challenges including the complex anatomy of the elbow joint itself, articular surface comminution, and frequently, osteopenic or osteoporotic bone stock. Anatomic reduction of the joint surface, restoration of the overall anatomic axes of the extremity, and stable fixation allowing for early elbow mobilization are keys to achieving a good surgical outcome. Early motion is critically important after open reduction and internal fixation (ORIF) of these fractures because the elbow joint capsule is very prone to scarring, and immobilization past 3 weeks has been linked with poorer outcomes. A number of well-described approaches are at the surgeon’s disposal for exposure of the distal humerus. These include the olecranon osteotomy, triceps-reflecting anconeus pedicle (TRAP), BryanMorrey (triceps reflecting), paratricipital (AlonsoLlames, bilaterotricipital, triceps sparing), triceps |
| Databáze: | OpenAIRE |
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