RATIONAL TREATMENT OF AO TYPE C DISTAL HUMERAL FRACTURES (ARBEITSGEMEINSCHAFT FÜR OSTEOSYNTHESEFRAGEN)
Abstract:
This work aims at addressing the correct
treatment of distal humeral fractures type C3 - AO
classification. This study includes a group of 67 patients.
Of these, 35 have benefited from open reducing and
internal fixation (ORIF) and 32 by conservative treatment
and cast immobilization for 4-6 weeks. We used regional
anaesthesia and transolecranian posterior surgical
approach. Internal fixation was performed with 2 plates,
with a plate and screws, or wire depending on surgical
conditions and bone quality. Conclusions: The primary
solution is ORIF.In cases with extreme osteoporosis
(“bag of bones”) we recommend primary total elbow
replacement.
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