medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2013, Number 1

<< Back Next >>

Acta Ortop Mex 2013; 27 (1)

Increased stability in osteosynthesis of osteoporotic distal humerus with standard implants

Ramos-Maza E, García-Estrada F, Chávez-Covarrubias G, Alcázar D

Language: Spanish
References: 18
Page: 9-16
PDF size: 328.97 Kb.


ABSTRACT

Surgery has proven to be the treatment of choice for distal humerus fractures if one wants to obtain the best results. However, this involves a high degree of complexity and therefore there are poor results. Objective: Is it possible to improve the stability of osteosynthesis for osteoporotic distal humerus fractures using standard plates placed together using a screw 4.5 mm in diameter? Material and methods: In an eight-month period a total of six female patients with distal humerus fractures underwent surgery at IMSS Trauma Emergencies Hospital. Technique: A 1/3 tubular lateral plate was fixed to a reconstruction plate 3.5 mm medially using a 4.5 mm cortical screw going from lateral to medial. Assessment: The Mayo Scale was used to assess the elbow. Results: Mean follow-up was 23.3 months; three right and three left elbows were operated; mean age of females was 78.83 years; three excellent, one good and two fair results were reported, and no poor results. Conclusions: It is possible to achieve adequate stability with standard implants; good results are obtained.


REFERENCES

  1. Anglen J: Distal Humeral Fractures. J Am Acad Orthop Surg 2005; 13(5): 291-7.

  2. Korner J, Lill H, Müller LP, Rommens PM, Schneider E, Linke B: The LCP-concept in the operative treatment of distal humerus fractures – biological, biomechanical and surgical aspects. Injury 2003; 34(2): 20-30.

  3. Korner J, Diderichs G, Arzdorf M, Lill H, Josten Ch, Schneider E, Linke B: A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates. J Orthopaedic Trauma 2004; 18(5): 286-93.

  4. Srinivasan K, Agarwal M, Matthews SJ, Giannoudis PV: Fractures of the Distal Humerus in the Elderly: Is Internal Fixation the Treatment of Choice? Clin Orthop Rel 2005; 434: 222-30.

  5. Pajarinen J, Björkenheim JM: Operative treatment of type c intercondylar fractures of the distal humerus: Results after a mean follow-up of 2 years in a series of 18 patients. J Shoul Elbow Surg 2002; 11(1): 48-52.

  6. Hahn D: Current principles of treatment in the clinical practice of articular fractures. Clin Orthop Rel Res 2004; 423: 27-32.

  7. Robinson CM, Hill RM, Jacobs N, Dall G, Court-Brown CM: Adult distal humeral metaphyseal fractures: Epidemiology and results of treatment. J Orthopaedic Trauma 2002; 17(1): 38-47.

  8. Ring D, Jupiter J: Fractures of the distal humerus. Orthop Clin North Am 2000; 17(1): 38-47.

  9. Schuster I, Korner J, Arzdorf Z, Schwieger K, Diederichs G, Linke B: Different 90-degree double-plate osteosyntheses for simulated C-2 type distal humerus fracture with varying bone densities. J Orthop Traum 2008; 22(2): 113-20.

  10. Schemitsch EH, Tenser AF, Genley MD: Biomechanical evaluation of methods of internal fixation of distal humerus. J Orthop Trauma 1994; 8: 468-75.

  11. Müller ME, Nazarian S, Koch P, Schatzker J: The comprehensive classification of fractures of long bones. New York: Springer Verlag; 1990.

  12. Shawn W: O’Driscoll MD: Optimizing Stability in Distal Humeral Fracture Fixation. J Shoul Elbow Surg 2005; 14(1): 5186-94.

  13. Jupiter JB, Morrey BF: Fractures of the distal humerus in the adult. In: Morrey BF, editor. The Elbow and its Disorders. 2nd ed. Philadelphia: W. B. Saunders; 1993: 328-66.

  14. Rose SH, Melton LJ, Morrey BF, et al: Epidemiologic features of humeral fractures. Clin Orthop 1982; 168: 24-30.

  15. Morrey BF, A KN, Chao EYS: Functional evaluation of the elbow. In: Morrey BF, editor. The elbow and its disorders. 2nd ed. Philadelphia: WB Saunders; 1993: 86-97.

  16. Jakobson SR, Glisson RR, Urbaniac Jr: Comparison of distal humerus fracture fixation: a biomechanical study. J South Orthop Ass 1997; 6: 241-9.

  17. Müller M, Allgöwer M, Schneider R, Willenegger H: Manual of Internal Fixation. 3rd ed. Germany: Springer-Verlag; 1992: 206-207.

  18. Windolf M, Ramos E, Gueorguiev B, Braunstein V, Schwieger K: Treatment of distal humeral fractures using conventional implants. Biomechanical evaluation of a new implant configuration. BMC Musculoskeletal Disorders 2010; 11: 172.




2020     |     www.medigraphic.com