scholarly journals Long-Term Functional Outcomes and Complications of Intra-Articular (AO type B, C) Distal Humerus Fractures in Adults: A Retrospective Review

Cureus ◽  
2022 ◽  
Author(s):  
Minos Tyllianakis ◽  
Konstantina Solou ◽  
John Lakoumentas ◽  
Andreas Panagopoulos
Keyword(s):  
Retrospective Review ◽  
Functional Outcomes ◽  
Distal Humerus ◽  
Type B ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Standardized fracture creation in the distal humerus and the olecranon for surgical training and biomechanical testing

2022 ◽  
Author(s):  
Werner Schmoelz ◽  
Jan Philipp Zierleyn ◽  
Romed Hoermann ◽  
Rohit Arora
Keyword(s):  
Soft Tissue ◽  
Surgical Training ◽  
Testing Machine ◽  
Biomechanical Testing ◽  
Distal Humerus ◽  
Type B ◽  
Soft Tissue Envelope ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Olecranon Fractures

Abstract Introduction Surgical training and biomechanical testing require models that realistically represent the in vivo injury condition. The aim of this work was to develop and test a method for the generation of distal humerus fractures and olecranon fractures in human specimens, while preserving the soft tissue envelope. Methods Twenty-one cadaveric upper extremity specimens (7 female, 14 male) were used. Two different experimental setups were developed, one to generate distal humerus fractures and one to generate olecranon fractures. Specimens were placed in a material testing machine and fractured with a predefined displacement. The force required for fracturing and the corresponding displacement were recorded and the induced energy was derived of the force–displacement graphs. After fracturing, CT imaging was performed and fractures were classified according to the AO classification. Results Eleven distal humerus fractures and 10 olecranon fractures with intact soft tissue envelope could be created. Distal humerus fractures were classified as AO type C (n = 9) and as type B (n = 2), all olecranon fractures were classified as AO type B (n = 10). Distal humerus fractures required significantly more load than olecranon fractures (6077 N ± 1583 vs 4136 N ± 2368, p = 0.038) and absorbed more energy until fracture than olecranon fractures (17.8 J ± 9.1 vs 11.7 J ± 7.6, p = 0.11), while the displacement at fracture was similar (5.8 mm ± 1.6 vs 5.9 mm ± 3.1, p = 0.89). Conclusion The experimental setups are suitable for generating olecranon fractures and distal humerus fractures with intact soft tissue mantle for surgical training and biomechanical testing.

Comparative Analysis of Results of Paratricipital Approach and Olecranon Osteotomy in Non Comminuted Distal Humerus Fractures - A Retrospective Study Conducted at a Tertiary Hospital in Kolkata

2021 ◽  
Vol 8 (37) ◽  
pp. 3316-3322
Author(s):  
Subhadeep Ghosh ◽  
Sunit Hazra
Keyword(s):  
Retrospective Study ◽  
Internal Fixation ◽  
Functional Outcomes ◽  
Open Reduction ◽  
Age Groups ◽  
Distal Humerus ◽  
Extensor Mechanism ◽  
Surgical Approaches ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

BACKGROUND Intercondylar humerus fractures and low transcondylar type fractures of distal humeral often require surgical exposure and anatomical reduction of the articular surface as well as stabilization of the medial and lateral columns of the distal humerus. Traditionally, these injuries have been treated surgically with various extensor mechanism-disrupting surgical approaches. These approaches have often led to delayed union or non-union of the olecranon, triceps weakness, and osteotomy-related prominent implants. To avoid these problems, various extensor mechanism-sparing approaches that provide bicolumnar exposure of the distal part of the humerus have been described, including triceps-splitting and reflecting techniques. The paratricipital approach was developed to avoid the problems of olecranon osteotomy approach for non comminuted distal humerus fractures. The purpose of this study was to compare the paratricipital approach with olecranon osteotomy and evaluate their effects on the functional outcomes of intercondylar fractures of the distal humerus managed with open reduction and internal fixation (ORIF) by reviewing 38 cases of intercondylar distal humerus fractures surgically managed with either of the approaches during 2015 - 2017. METHODS The retrospective study was conducted at our institution, R.G. Kar Medical College, Kolkata from May 2015 to May 2017. OA type C1 and C2 fractures were included in the study. Type C3 fractures were excluded from the study. Distal humeral open reduction and internal fixation (ORIF) was performed with either orthogonal or parallel plate constructs in 38 patients, where paratricipital approach was used in 21 patients and olecranon osteotomy was done for 17 patients. RESULTS Patients in the paratricipital approach group seems to have better range of motion in terms of flexion and extension. Moreover, mayo elbow performance score (MEPS) of the paratricipital group is better than that of olecranon osteotomy group, even more so in younger age groups. CONCLUSIONS We found that ORIF via the paratricipital approach would confer better functional outcomes for simple intra-articular distal humerus fractures in patients of all age groups. KEYWORDS Distal Humerus Fracture, Paratricipital, Olecranon Osteotomy

scholarly journals A study of functional outcomes of distal humerus fractures operated by triceps reflecting approach

2017 ◽  
Vol 5 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Dr Vijay Sarukte ◽  
◽  
Dr. Ravi Bhanushali ◽  
Dr. Umesh Nagrale ◽  
Dr. Sunil Vishwakarma ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Open or Closed Pinning for Distal Humerus Fractures in Children?

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 76-81 ◽  
Author(s):  
de Buys Roessingh ◽  
Reinberg
Keyword(s):  
Distal Humerus ◽  
Neurological Involvement ◽  
Cubitus Varus ◽  
Cubitus Valgus ◽  
Fractures In Children ◽  
Motor Deficiency ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
With Screws ◽  
Length Of Hospitalization

Introduction: In children, the choice between percutaneous pinning (PP) and open pinning fixation (OPF) for the surgical treatment of fractures of the distal humerus remains controversial, especially the PP method for internal humeral condylar (IHC) fractures. Patients and methods: Eighty fractures of the distal humerus in children were treated surgically in our hospital over a ten year period. 47% (n = 38) were supracondylar (SC), 20% (n = 16) comminuted (COM), 18% (n = 14) internal humeral condylar (IHC), and 15% (n = 12) lateral humeral condylar (LHC). We used PP, OPF and three times osteosynthesis with screws. Results: In comparison to OPF, PP reduced the length of hospitalization in SC fractures (2.8 versus 6.1 days) and IHC fractures (2.4 versus five days). It reduced the risk of extension deficiency (11.1% versus 15%) and of cubitus valgus (0% versus 20%) in SC fractures, and of cubitus varus in IHC fractures (0% versus 11.1%). However it induced a higher rate of cubitus valgus (11.1% versus 20%) in IHC fractures, one persistent neurological motor deficiency (radial nerve) and four cases of transitional neurological involvement (ulnar nerve). Conclusions: PP is a good surgical method for SC and for also for IHC fractures, if performed by experienced surgeons so as to avoid neurological damage.

scholarly journals Mechanical Strength of the Mayo Clinic Congruent Elbow Plate System for Distal Humerus Fractures: Cadaveric and Model Bone Model

2014 ◽  
Vol 26 (4) ◽  
pp. 309-318
Author(s):  
Hiroshi MARUYAMA ◽  
Kazunari TOMITA ◽  
Keikichi KAWASAKI ◽  
Jun IKEDA ◽  
Katsunori INAGAKI ◽  
...  
Keyword(s):  
Mechanical Strength ◽  
Mayo Clinic ◽  
Distal Humerus ◽  
Bone Model ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Plate System
Sign in / Sign up

Export Citation Format

Share Document