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Treatment of distal humerus fractures in adults: a historical perspective
Michal Kozánek1, Jan Bartoníček1, Samantha M Chase1
1Department of Orthopaedic Surgery, Massachusetts General Hospital and Harvard Combined Orthopaedic Residency Program, Boston, MA; Department of Orthopaedic Trauma of 1(st) Faculty of Medicine of Charles University and Central Military Hospital, Prague, Czech Republic; Faculty of Medicine, Comenius University, Bratislava, Slovakia.
Abstract:
Nonsurgical treatment was the mainstay of management of distal humerus fractures for centuries and nonunions and malunions were common. The 19th century featured the recognition of distinct injury patterns. With advances in radiology, anesthesia, antisepsis, and hardware technology, surgical treatment is now generally preferred, yet loss of elbow joint mobility can still be a vexing problem.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
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