Surgical Treatment Strategy for Distal Humerus Intra-articular Fractures
10.5397/cise.2019.22.2.113
- Author:
Hyo Jin LEE
1
Author Information
1. Department of Orthopedic Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea. hyojin1229@gmail.com
- Publication Type:Review
- Keywords:
Humerus;
Intra-articular fractures;
Fracture fixation
- MeSH:
Fracture Fixation;
Humerus;
Intra-Articular Fractures;
Methods;
Olecranon Process
- From:Journal of the Korean Shoulder and Elbow Society
2019;22(2):113-117
- CountryRepublic of Korea
- Language:English
-
Abstract:
Treating distal humerus fractures, especially those involving intra-articular lesions, is complex and often technically demanding. Although there still exist many controversial issues, the goal of treatment is to establish anatomical stable fixation by restoring the two columns and the articular surface. Universally, a posterior midline incision is applied, and the approach varies according to the further management of the triceps or olecranon. Evidence supports dual plate fixation as the optimal fixation method, and debates regarding appropriate plating configuration are still ongoing. As multiple clinical studies comparing results of parallel and perpendicular plate fixation have shown no actual difference, it is important to place the plates according to the fracture configuration.
