Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator
Purpose To measure clinical and radiographic outcomes using external fixation in distal humeral fractures. Methods A total of 10 elderly patients, with a mean age of 71 (range 64–84 years) years old, with unstable distal humeral fractures were treated by percutaneous reduction and fixatio...
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doaj-beb9daf2eb5244cea494032dc538ecb52020-11-25T02:33:32ZengThieme Revinter Publicações Ltda.Revista Iberoamericana de Cirugía de la Mano1698-83961698-840X2020-05-01480100200910.1055/s-0040-1708888Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external FixatorMarcio Aurelio Aita0Ricardo Kaempf de Oliveira1Douglas Hideki Ikeuti2Gustavo Mantovani Ruggiero3Fernando Luvizoto de Carvalho4Fabio Lucas Rodrigues5Surgery Department, Orthopedic and Traumatology, Hand and Microsurgery Division, Faculdade de Medicina do ABC, Santo Andre, SP, BrazilOrthopedic and Traumatology Department, Danta Casa de Porto Alegre, Porto Alegre, RS, BrazilSurgery Department, Orthopedic and Traumatology, Hand and Microsurgery Division, Faculdade de Medicina do ABC, Santo Andre, SP, BrazilPlastic Surgery Department, Universita Degli Studi Di Milano, Milan, ItalySurgery Department, Orthopedic and Traumatology, Hand and Microsurgery Division, Faculdade de Medicina do ABC, Santo Andre, SP, BrazilSurgery Department, Orthopedic and Traumatology, Hand and Microsurgery Division, Faculdade de Medicina do ABC, Santo Andre, SP, BrazilPurpose To measure clinical and radiographic outcomes using external fixation in distal humeral fractures. Methods A total of 10 elderly patients, with a mean age of 71 (range 64–84 years) years old, with unstable distal humeral fractures were treated by percutaneous reduction and fixation with an articulated external fixator. The patients were assessed on range of elbow motion, patient disabilities of the arm, shoulder, and hand (DASH), and pain visual analog scale (VAS) and radiographic evaluation at 12 months. Results The mean range of motion was 134° of flexion, extension was of - 5°. All of the elbows were clinically stable. The mean VAS was 2.2, and the mean DASH score was 14.3. Radiographic analysis showed satisfactory reduction and consolidation. All of the patients showed congruence of concentric humerus-ulnar and radius and no patient had joint stiffness or posttraumatic arthritis of the elbow. Regarding complications, we observed a patient who presented with pain in the location of the ulnar pin, which was resolved with the removal of the pin. After two months, another patient had pneumonia and died. The follow-up was of 15.44 months. Conclusions A radiographic analysis of the patients showed fracture healing with joint congruity. In the functional clinical aspect, it was noted that patients had functional range of motion Type of study/level of evidence Therapeutic IVhttp://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708888elbowfracturesdistal humerus fracturesinstabilityelderlyexternal fixation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Marcio Aurelio Aita Ricardo Kaempf de Oliveira Douglas Hideki Ikeuti Gustavo Mantovani Ruggiero Fernando Luvizoto de Carvalho Fabio Lucas Rodrigues |
spellingShingle |
Marcio Aurelio Aita Ricardo Kaempf de Oliveira Douglas Hideki Ikeuti Gustavo Mantovani Ruggiero Fernando Luvizoto de Carvalho Fabio Lucas Rodrigues Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator Revista Iberoamericana de Cirugía de la Mano elbow fractures distal humerus fractures instability elderly external fixation |
author_facet |
Marcio Aurelio Aita Ricardo Kaempf de Oliveira Douglas Hideki Ikeuti Gustavo Mantovani Ruggiero Fernando Luvizoto de Carvalho Fabio Lucas Rodrigues |
author_sort |
Marcio Aurelio Aita |
title |
Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator |
title_short |
Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator |
title_full |
Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator |
title_fullStr |
Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator |
title_full_unstemmed |
Distal Articular Fractures of the Humerus: Surgical Approach with Dynamic Elbow external Fixator |
title_sort |
distal articular fractures of the humerus: surgical approach with dynamic elbow external fixator |
publisher |
Thieme Revinter Publicações Ltda. |
series |
Revista Iberoamericana de Cirugía de la Mano |
issn |
1698-8396 1698-840X |
publishDate |
2020-05-01 |
description |
Purpose To measure clinical and radiographic outcomes using external fixation in distal humeral fractures.
Methods A total of 10 elderly patients, with a mean age of 71 (range 64–84 years) years old, with unstable distal humeral fractures were treated by percutaneous reduction and fixation with an articulated external fixator. The patients were assessed on range of elbow motion, patient disabilities of the arm, shoulder, and hand (DASH), and pain visual analog scale (VAS) and radiographic evaluation at 12 months.
Results The mean range of motion was 134° of flexion, extension was of - 5°. All of the elbows were clinically stable. The mean VAS was 2.2, and the mean DASH score was 14.3. Radiographic analysis showed satisfactory reduction and consolidation. All of the patients showed congruence of concentric humerus-ulnar and radius and no patient had joint stiffness or posttraumatic arthritis of the elbow. Regarding complications, we observed a patient who presented with pain in the location of the ulnar pin, which was resolved with the removal of the pin. After two months, another patient had pneumonia and died. The follow-up was of 15.44 months.
Conclusions A radiographic analysis of the patients showed fracture healing with joint congruity. In the functional clinical aspect, it was noted that patients had functional range of motion Type of study/level of evidence Therapeutic IV |
topic |
elbow fractures distal humerus fractures instability elderly external fixation |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708888 |
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