Supplementary Files
Keywords
Intra-articular fracture
Elbow joint
Adult
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Abstract
Objective: Distal humerus fractures occur in 2 to 6% of fractures in general and in up to 30% of elbow fractures in adults, with a high potential for complications due to neurovascular compromise and joint stiffness, in addition to the technical difficulty of approach and fixation with plates. In order to review the forms of management and conduct in distal humerus joint fractures, and then analyze the advantages and disadvantages of different open reduction and fixation techniques. Bibliographic review: We identified ways of open approach and reduction fixation of such fractures, to which the authors discuss the approach to triceps and trans olecranon, in which the reduction fixation varies between fixation with plates in orthogonal and parallel positions. Efficacy comparisons ranged from biomechanical studies with artificial models to clinical studies, with a variety of short- and long-term outcomes. Final considerations: There is evidence that the trans olecranon approach provides better exposure, despite greater short-term complications, in addition to better biomechanical efficacy of plates in parallel position, however professional experience is a differentiating and important factor when planning such an approach.
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