2013, Number 1
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ABSTRACTThe elbow lesions due to high-energy trauma that leads to complex fractures of the distal humerus, olecranon and radial head, are a great surgical challenge for the orthopedic surgeon. Therefore the treating surgeon needs to understand and have a great knowledge of the really complex anatomy of the region, and be well acquainted with the commonly associated lesions to be able to perform an accurate diagnostic so he can offer the best possible outcome to the patient regardless of the severity of the lesion. Knowing the current trends in internal fixation and the development of new types of implants that have become widely available lately, we are able to improve the outcome of severe fractures if we utilize an adequate technique in the right manner. Also it is important to be aware that the total elbow arthroplasty is a good option when the reconstruction is not possible and is currently showing encouraging results when the patient is carefully selected, however this demanding procedure requires great expertise to achieve a good functional outcome.
Kloen P, Helfet DL, Lorich DG, Paul O, Brouwer KM, Ring D. Temporary joint-spanning external fixation before internal fixation of open intra-articular distal humeral fractures: A staged protocol. Journal of Shoulder and Elbow Surgery / American Shoulder and Elbow Surgeons [et al]. 2012; 21 (10): 1348-1356.