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Distal humerus fractures.

Thomas W Throckmorton1, Peter C Zarkadas, Scott P Steinmann

  • 1Mayo Clinic, Department of Orthopedic Surgery, Rochester, MN 55902, USA.

Hand Clinics
|December 7, 2007
PubMed
Summary
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Treating complex distal humerus fractures in adults is challenging. This review covers epidemiology, classification, and surgical techniques, including internal fixation, for better patient outcomes.

Area of Science:

  • Orthopedic Surgery
  • Traumatology

Background:

  • Distal humerus fractures in adults pose significant treatment challenges due to complexity, comminution, and osteoporotic bone.
  • Restoration of full function after these injuries can be uncertain, necessitating a review of current treatment strategies.

Purpose of the Study:

  • To review the epidemiology and classification of distal humerus fractures in adults.
  • To provide an overview of various treatment options, including bracing, internal fixation, hemiarthroplasty, and total elbow arthroplasty.
  • To illustrate a current treatment algorithm and the authors' preferred internal fixation method.

Main Methods:

  • Review of existing literature on distal humerus fracture treatment.
  • Analysis of epidemiological data and fracture classification systems.

Related Experiment Videos

  • Illustration of surgical techniques, including internal fixation and arthroplasty.

    • Main Results:

    • Multiple treatment modalities exist, each with specific indications and potential outcomes.
    • Internal fixation remains a primary surgical option, with specific techniques detailed.
    • Consideration of elderly populations and surgical complications is crucial for management.

    Conclusions:

    • Distal humerus fractures require careful management considering fracture patterns and patient factors.
    • A structured treatment algorithm, potentially favoring internal fixation, can optimize outcomes.
    • Understanding complications and tailoring treatment to the elderly are essential for successful management.