Complications of open reduction and internal fixation of distal humerus fractures

Treatment of distal humerus fractures is demanding. Surgery is the optimal treatment and preoperative planning is based on fracture type and degree of comminution. Fixation with two precontoured anatomical locking plates at 90(o):90(o) orthogonal or 180(o) parallel is the optimal treatment. The main...

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Autores principales: Savvidou, Olga D., Zampeli, Frantzeska, Koutsouradis, Panagiotis, Chloros, George D., Kaspiris, Aggelos, Sourmelis, Savas, Papagelopoulos, Panayiotis J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: British Editorial Society of Bone and Joint Surgery 2018
Materias:
Trauma
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335604/
https://www.ncbi.nlm.nih.gov/pubmed/30662764
http://dx.doi.org/10.1302/2058-5241.3.180009
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author Savvidou, Olga D.
Zampeli, Frantzeska
Koutsouradis, Panagiotis
Chloros, George D.
Kaspiris, Aggelos
Sourmelis, Savas
Papagelopoulos, Panayiotis J.
author_facet Savvidou, Olga D.
Zampeli, Frantzeska
Koutsouradis, Panagiotis
Chloros, George D.
Kaspiris, Aggelos
Sourmelis, Savas
Papagelopoulos, Panayiotis J.
author_sort Savvidou, Olga D.
collection PubMed
description Treatment of distal humerus fractures is demanding. Surgery is the optimal treatment and preoperative planning is based on fracture type and degree of comminution. Fixation with two precontoured anatomical locking plates at 90(o):90(o) orthogonal or 180(o) parallel is the optimal treatment. The main goal of surgical treatment is to obtain stable fixation to allow immediate postoperative elbow mobilization and prevent joint stiffness. Despite evolution of plates and surgical techniques, complications such as mechanical failure, ulnar neuropathy, stiffness, heterotopic ossification, nonunion, malunion, infection, and complications from olecranon osteotomy are quite common. Distal humerus fractures still present a significant technical challenge and need meticulous technique and experience to achieve optimal results. Cite this article: EFORT Open Rev 2018;3:558-567. DOI: 10.1302/2058-5241.3.180009
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spelling pubmed-63356042019-01-18 Complications of open reduction and internal fixation of distal humerus fractures Savvidou, Olga D. Zampeli, Frantzeska Koutsouradis, Panagiotis Chloros, George D. Kaspiris, Aggelos Sourmelis, Savas Papagelopoulos, Panayiotis J. EFORT Open Rev Trauma Treatment of distal humerus fractures is demanding. Surgery is the optimal treatment and preoperative planning is based on fracture type and degree of comminution. Fixation with two precontoured anatomical locking plates at 90(o):90(o) orthogonal or 180(o) parallel is the optimal treatment. The main goal of surgical treatment is to obtain stable fixation to allow immediate postoperative elbow mobilization and prevent joint stiffness. Despite evolution of plates and surgical techniques, complications such as mechanical failure, ulnar neuropathy, stiffness, heterotopic ossification, nonunion, malunion, infection, and complications from olecranon osteotomy are quite common. Distal humerus fractures still present a significant technical challenge and need meticulous technique and experience to achieve optimal results. Cite this article: EFORT Open Rev 2018;3:558-567. DOI: 10.1302/2058-5241.3.180009 British Editorial Society of Bone and Joint Surgery 2018-10-24 /pmc/articles/PMC6335604/ /pubmed/30662764 http://dx.doi.org/10.1302/2058-5241.3.180009 Text en © 2018 The author(s) https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution-Non Commercial 4.0 International (CC BY-NC 4.0) licence (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed.
spellingShingle Trauma
Savvidou, Olga D.
Zampeli, Frantzeska
Koutsouradis, Panagiotis
Chloros, George D.
Kaspiris, Aggelos
Sourmelis, Savas
Papagelopoulos, Panayiotis J.
Complications of open reduction and internal fixation of distal humerus fractures
title Complications of open reduction and internal fixation of distal humerus fractures
title_full Complications of open reduction and internal fixation of distal humerus fractures
title_fullStr Complications of open reduction and internal fixation of distal humerus fractures
title_full_unstemmed Complications of open reduction and internal fixation of distal humerus fractures
title_short Complications of open reduction and internal fixation of distal humerus fractures
title_sort complications of open reduction and internal fixation of distal humerus fractures
topic Trauma
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6335604/
https://www.ncbi.nlm.nih.gov/pubmed/30662764
http://dx.doi.org/10.1302/2058-5241.3.180009
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