Related Experiment Video
Updated: Jun 19, 2026

Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Intra-articular osteotomy for distal humerus malunion
1Department of Orthopaedic Surgery, Orthotrauma Research Center Amsterdam, Academic Medical Center Amsterdam, University of Amsterdam, Room L107, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands.
Abstract:
Intra-articular osteotomy is considered in the rare case of malunion after a fracture of the distal humerus to restore humeral alignment and gain a functional arc of elbow motion. Traumatic and iatrogenic disruption of the limited blood flow to the distal end of the humerus resulting in avascular necrosis of capitellum or trochlea is a major pitfall of the this technically challenging procedure. Two cases are presented which illustrate the potential problems of intra-articular osteotomy for malunion of the distal humerus.
Related Concept Videos
Bones of the Upper Limb: Humerus
Bones of the Upper Limb: Ulna