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2015, Number 1

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Ortho-tips 2015; 11 (1)

Handling with joint replacement in distal humerus fractures

Tafoya-Arreguín GA, Martínez RJJ, Ochoa-Lara GL, Barba AAJF
Full text How to cite this article

Language: Spanish
References: 8
Page: 20-25
PDF size: 240.24 Kb.


Key words:

Fractures, humerus, prosthesis, arthroplasty, supracondylar.

ABSTRACT

The distal humeral fractures are one of the biggest causes of morbidity of the elbow, and are observed mainly in two picks age groups the first being between the second and third, while the other during the sixth and seventh decade of life. We evaluated 18 consecutive patients diagnosed with humeral fractures that were being treated with elbow replacement. All fractures were classified as AO13C3 by applying the posterior approach with the Bryan-Morrey technique, by the surgeons themselves. From within our 18 patient sample, 13 were feminine and 5 masculine with an average in age of 63 years (56-72) valued with a functional scale from May divided in two periods to obtain a description of the functional evaluation of our patients. According to our analysis and study, the complete elbow prosthesis in patients older than 60 years is a good option of the management of fractures classified as AO13C3.


REFERENCES

  1. Radulescu R, et al. Osteosynthesis in fractures of the distal third of humeral diaphysis. Maedica. 2014; 9 (1): 44-48.

  2. O’Driscoll SW. Parallel plate fixation of bicolumn distal humeral fractures. Instr Course Lect. 2009; 58: 521-528.

  3. O’Driscoll SW. Supracondylar fractures of the elbow: open reduction, internal fixation. Hand Clin. 2004; 20 (4): 465-474.

  4. Jupiter JB, Neff U, Regazzoni P, Allgower M. Unicondylar fractures of the distal humerus: A operative approach. J Orthop Trauma. 1988; 2: 102-109.

  5. Helfet DL, Hotchkiss RN. Internal fixation of the distal humerus: a biomechanical comparison of methods. J Orthop Trauma. 1990; 4: 260-264.

  6. Henley MB, Bone LB, Parker B. Operative management of intra-articular fractures of the distal humerus. J Orthop Trauma. 1987; 1: 24-35.

  7. Shawn O’Driscoll. Current concepts in fractures of the distal humerus. In: Bernard F. Morrey, Joaquin Sanchez-Sotelo. The Elbow and its Disorders. Cuarta Edición. Minnesota US. Elsevier. 2009. pp. 337-358.

  8. Garcia JA, Mykula R, Stanley D. Complex fractures of the distal humerus in the elderly. The role of total elbow replacement as primary treatment. J Bone Joint Surg Br. 2002; 84: 812-816.




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Ortho-tips. 2015;11