Distal Humeral Fractures - Dr. Kwee (Aug 22, 2006

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Treatment Options - Type A <strong>Fractures</strong> • As in Kids – Brachial artery injury is sometimes associated with this type • AKA transcolumnar fractures • Also classified into high, low or oblique
Management Options – Type A <strong>Fractures</strong> • Closed Reduction and Casting – Now recommended only for those who are medically unfit • Closed Reduction and Traction – Neither closed technique allows for early mobilization • Percutaneous Pinning – As in kids, crossed k-wires – Must be immobilized in cast for 5-6 wks • Open Reduction Internal Fixation – The current standard of care
Page 1 and 2: Distal Humeral Fractures - Basic Ma
Page 3 and 4: Anatomy • Distal Humerus made up
Page 5 and 6: • Alignment - 4-8° of valgus (ca
Page 7 and 8: • Peri-articular - OTA Classifica
Page 9: • Standard X-rays • Traction X-
Page 13 and 14: Management Options - Type A Fractur
Page 15 and 16: Treatment Options - Type B Fracture
Page 17 and 18: • Options Treatment Options - Typ
Page 19 and 20: Management Options - Type C Fractur
Page 21 and 22: Challenges - Avoiding articular sur
Page 23 and 24: • Posterior Approach Cont’d - D
Page 25 and 26: • Posterior Approach Cont’d - P
Page 27: • Deep dissection: pronate forear

Distal Humeral Fractures - Dr. Kwee (Aug 22, 2006

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