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- W2046289311 abstract "Fractures of the distal humerus are uncommon injuries, constituting between 0.5% and 7% of all fractures and 30% of all elbow fractures. 2 Anglen J. Distal humerus fractures. J Am Acad Orthop Surg. 2005; 13: 291-297 PubMed Google Scholar , 15 Galano G.J. Ahmad C.S. Levin W.N. Current treatment strategies for bicolumnar distal humerus fractures. J Am Acad Orthop Surg. 2010; 18: 20-30 Crossref PubMed Scopus (57) Google Scholar Up to 96% of these injuries are intercondylar, or AO type C, distal humeral fractures involving the articular surface. 29 Pollock J.W. Faber K.J. Athwal G.S. Distal humerus fractures. Orthop Clin North Am. 2008; 39: 187-200https://doi.org/10.1016/j.ocl.2007.12.002 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar These fractures are notoriously difficult to treat, presenting the surgeon with multiple challenges including the complex anatomy of the elbow joint itself, articular surface comminution, and frequently, osteopenic or osteoporotic bone stock. 41 Wong A.S. Baratz M.E. Elbow fractures: distal humerus. J Hand Surg Am. 2009; 34: 176-190 Abstract Full Text Full Text PDF PubMed Scopus (44) Google Scholar Anatomic reduction of the joint surface, restoration of the overall anatomic axes of the extremity, and stable fixation allowing for early elbow mobilization are keys to achieving a good surgical outcome. 9 Coles C.P. Barei D.P. Nork S.E. Taitsman L.A. Hanel D.P. Henley M.B. The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus. J Orthop Trauma. 2006; 20: 164-171https://doi.org/10.1097/00005131-200603000-00002 Crossref PubMed Scopus (133) Google Scholar , 16 Gupta R. Khanchandani P. Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases. Injury. 2002; 33: 511-515https://doi.org/10.1016/S0020-1383(02)00009-8 Abstract Full Text Full Text PDF PubMed Scopus (80) Google Scholar Early motion is critically important after open reduction and internal fixation (ORIF) of these fractures 32 Ring D. Jupiter J.B. Complex fractures of the distal humerus and their complications. J Shoulder Elbow Surg. 1999; 8: 85-97 Abstract Full Text PDF PubMed Scopus (86) Google Scholar because the elbow joint capsule is very prone to scarring, and immobilization past 3 weeks has been linked with poorer outcomes. 27 Pajarinen L. Bjorkenheim J.M. Operative treatment of type C intercondylar fractures of the distal humerus: results after a mean follow-up of 2 years in a series of 18 patients. J Shoulder Elbow Surg. 2002; 11: 48-52https://doi.org/10.1067/mse.2002.119390 Abstract Full Text Full Text PDF PubMed Scopus (119) Google Scholar , 29 Pollock J.W. Faber K.J. Athwal G.S. Distal humerus fractures. Orthop Clin North Am. 2008; 39: 187-200https://doi.org/10.1016/j.ocl.2007.12.002 Abstract Full Text Full Text PDF PubMed Scopus (35) Google Scholar , 39 Waddell J.P. Hatch J. Richards R.R. Supracondylar fractures of the humerus: results of surgical treatment. J Trauma. 1988; 28: 1615-1621 Crossref PubMed Scopus (68) Google Scholar" @default.
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- W2046289311 title "Effects of surgical approach on functional outcomes of open reduction and internal fixation of intra-articular distal humeral fractures: a systematic review" @default.
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