Document Detail


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.
MedLine Citation:
PMID:  11845149     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We reviewed the results of internal fixation in a series of 18 patients (mean age, 44.4 years; SD, 19.1 years; range, 16-81 years) with type C intraarticular fractures of the distal humerus after a mean follow-up of 24.7 months (range, 10-41 months; SD, 9.3 months). An excellent or good result was observed in 10 patients (56%), according to the rating system of the Orthopaedic Trauma Association. All patients younger than 40 years (n = 8) had an excellent or good result, whereas those rates were found in only 2 of 10 patients older than 50 years. Low range of elbow motion (extension-flexion) and, consequently, inferior postoperative score were also correlated to male sex, the triceps-splitting approach, and immobilization exceeding 3 weeks. When stability of the humeral columns is achieved and the articular platform is reconstructed, satisfactory results can be obtained, even in comminuted supracondylar fractures. However, age over 50 years, poor bone quality, and open fracture are correlated with increased risk for an inferior postoperative result. Early mobilization, when possible, and the use of an olecranon osteotomy are recommended.
Authors:
Jarkko Pajarinen; Jan-Magnus Björkenheim
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of shoulder and elbow surgery / American Shoulder and Elbow Surgeons ... [et al.]     Volume:  11     ISSN:  1058-2746     ISO Abbreviation:  J Shoulder Elbow Surg     Publication Date:    2002 Jan-Feb
Date Detail:
Created Date:  2002-02-14     Completed Date:  2002-04-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206499     Medline TA:  J Shoulder Elbow Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  48-52     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, PO Box 266, FIN-00029 HUS, Finland. jarkko.pajarinen@hus.fi
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MeSH Terms
Descriptor/Qualifier:
Accidental Falls
Adolescent
Adult
Aged
Female
Follow-Up Studies
Fracture Fixation, Internal*
Fractures, Comminuted / surgery
Humans
Humeral Fractures / etiology,  surgery*
Male
Middle Aged
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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