JOURNAL ARTICLE
REVIEW

[Distal humerus fracture-extensile approaches]

F J P Beeres, F Oehme, R Babst
Operative Orthopädie und Traumatologie 2017, 29 (2): 115-124
27921119
The majority of dislocated, intra-articular fractures are treated with an open reduction and internal fixation. In this paper we describe a variety of dorsal approaches to the distal humerus. Beside the dorsal approach through an olecranon osteotomy we also discuss the alternative dorsal approaches without osteotomy and their advantages and drawbacks. Moreover we discuss the preoperative planning and operative procedure. Early functional rehabilitation, without weight bearing, is important to achieve an optimal outcome. Finally we present the results of the last 6 years of patients treated operatively in our clinic with distal humeral fractures.

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