This sometimes requires that the fracture be manipulated or “set”. The goal of fracture treatment is to restore the normal alignment of the bone and anatomy so that the fracture heals in the correct position. These include age, nutrition, overall health and whether or not you smoke. Factors that influence fracture healing in addition to the type and care of the fracture depend upon the person who sustains the fracture. The more energy it takes to break a bone, the more damage to the bone and soft tissues, and therefore the blood supply to the bone.įractures are treated in different ways and while some can be treated in a cast, brace, or splint, others require surgery to repair the fracture with plates, screws, nails or pins.Įveryone who experiences a fracture will heal differently. Fractures can be nondisplaced (a crack in the bone), spiral, segmented, or comminuted (multiple pieces). When we talk about fractures, we use certain terms to describe where the bone is broken, in what sort of pattern, open or closed and if it is displaced (shifted apart) or angulated. Published by Elsevier Ltd.A fracture is another term for a broken bone. ![]() Although there is a high rate of post-traumatic arthritic change radiographically, TEA was rare, and elbow-based outcome scores were good, although not normal.ĭistal humeral fracture Elbow release Hardware removal.Ĭopyright © 2020. There is a modest but consistent improvement in flexion-extension arc, and the re-operation rate is low. It appears safe to remove both plates and to re-intervene relatively early. There were four reoperations (10%): two patients had a revision release of contracture and two patients underwent a closed manipulation. One patient sustained a re-fracture of the distal humerus, and subsequently underwent repeat bicolumnar fixation. Two patients underwent a total elbow arthroplasty (TEA). There was a high rate of post-traumatic osteoarthritis (n=30). The mean DASH score was 21 (SD=19) and the mean MEPS score was 82 (SD=16). There was an improvement of 33° in the mean flexion-extension arc following the procedure (p<0.001). The average time from the original injury to the elbow release procedure was 17.5 months. Patients who returned for a follow-up visit completed the DASH (Disabilities of the Arm, Shoulder and Hand), the MEPS (Mayo Elbow Performance Score), and the SF-36.įorty-two patients were included in the final analysis. Patients were contacted to participate in a chart review and to return to clinic for a follow-up visit. Patients who had undergone an elbow release and hardware removal by a single surgeon following bicolumnar fixation of an intra-articular fracture of the distal humerus were identified. The purpose of this study was to determine the indications, technique, and outcomes of patients who had undergone an elbow release and hardware removal following bicolumnar plate fixation for an intra-articular fracture of the distal humerus. ![]() Despite prompt and accurate reduction and fixation, there is a high rate of complications post-surgical fixation. Intra-articular fractures of the distal humerus are typically treated with bicolumnar plate fixation.
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