Outcomes following distal humeral fracture fixation with an extensor mechanism-on approach.

@article{Erpelding2012OutcomesFD,
  title={Outcomes following distal humeral fracture fixation with an extensor mechanism-on approach.},
  author={Jason M Erpelding and Adam Mailander and Robin R High and Matthew A. Mormino and Edward V. Fehringer},
  journal={The Journal of bone and joint surgery. American volume},
  year={2012},
  volume={94 6},
  pages={
          548-53
        }
}
BACKGROUND Distal humeral fractures have traditionally been managed with surgical approaches that disrupt the extensor mechanism. We hypothesized that an extensor mechanism-on approach for operative fixation of distal humeral fractures with parallel or orthogonal plate constructs would allow excellent healing, a motion arc of the elbow exceeding 100°, and maintenance of extensor mechanism strength. METHODS Distal humeral open reduction and internal fixation (ORIF) was performed with either… 
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Highly Influential Citations
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Background Citations
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Results Citations
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Citation Type

Distal Humeral Fracture Fixation with an Extensor Mechanism-on Approach
TLDR
All fractures healed primarily with a median motion arc of 126° and the median triceps strength loss was 10% (range, 0% to 49%).
Intra-articular fractures of the distal humerus—a review of the current practice
TLDR
Elbow arthroplasty has also emerged as a viable alternative to ORIF for fixation of these fractures in elderly patients with poor bone quality.
Management of Fractures of Distal End of Humerus by Triceps- Sparing Approach
TLDR
Open reduction and internal fixation of intraarticular distal humerus fractures with tricepssparing approach provide adequate exposure with no adverse effect on triceps muscle strength and allows early initiation of elbow motion.
Results of parallel plate fixation of comminuted intra-articular distal humeral fractures.
Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures.
Hemiarthroplasty for the treatment of distal humeral fractures: midterm clinical results.
ORIF of Distal Humerus Fractures with Modern Pre-contoured Implants is Still Associated with a High Rate of Complications.
TLDR
Distal humerus fractures treated with ORIF utilizing anatomic, pre-contoured, locking distal humeral plates have a high complication rate, with many requiring reoperation.
A prospective study of surgical management of distal end humerus fractures in adults
TLDR
Operative treatment with rigid anatomical internal fixation should be the first line of treatment for all grades of Riseborough Radin intercondylar fractures, more so in young adults as it gives best chance to achieve good elbow function.
Triceps-sparing approach for open reduction and internal fixation of neglected displaced supracondylar and distal humeral fractures in children
  • A. Rizk
  • Medicine
    Journal of Orthopaedics and Traumatology
  • 2015
TLDR
The results were very satisfactory if compared with traditional operative techniques, with many advantages including anatomical reduction and fixation of the fractures, avoidance of ulnar nerve injury, preservation of the extensor mechanism, decrease in incidence of myositis ossificans around the elbow and decrease in post-operative stiffness.
Challenges and Solutions in Management of Distal Humerus Fractures
TLDR
Since the days where the ‘bag of bones’ technique was the preferred method of treating these complex injuries, techniques and outcomes have advanced greatly but they still present a significant technical challenge and need meticulous technique and experience to achieve optimal results.
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References

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TLDR
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TLDR
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