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Distal humerus fractures in the elderly
Published in Peter V. Giannoudis, Thomas A. Einhorn, Surgical and Medical Treatment of Osteoporosis, 2020
Jon B. Carlson, Craig S. Roberts, David Seligson
Distal humerus fractures in the elderly can be challenging injuries to treat. For example, an active 74-year-old female who sustained a supracondylar humerus fracture with intra-articular extension and minimal comminution may be best managed with ORIF. However, an 82-year-old male sustaining a “smashed” distal humerus fracture is best managed with total elbow replacement. Treatment should be guided both by the characteristics of the particular patient and the personality of the injury.
Pediatric Orthopedic Trauma: Upper Extremity Fractures
Published in David E. Wesson, Bindi Naik-Mathuria, Pediatric Trauma, 2017
Vinitha R. Shenava, Megan M. May
Occasionally a supracondylar humerus fracture may be associated with a fracture of the forearm. This injury pattern is considered a floating elbow and frequently requires operative stabilization of both fractures.
Evaluation of A Better Approach for Open Reduction Of Severe Gartland Type III Supracondylar Humeral Fracture
Published in Journal of Investigative Surgery, 2021
Supracondylar humerus fracture (SHF) is the most common elbow fracture in children, accounting for up to 75% of all pediatric elbow fractures [1, 2]. Closed reduction and percutaneous Kirschner (K)-wire fixations are considered as the best treatment method for Gartland type III fractures [3]. However, open surgery is inevitable in situations of impossible reduction, vascular injury, compartmental syndrome, open fractures, and multiple traumas [4, 5]. Open reduction and internal stabilization with K-wires ensure safe anatomical reduction and alignment maintenance.