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

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Treatment Options - Type B <strong>Fractures</strong> • Milch Classification for medial or lateral column fractures – Type I – Lateral wall of trochlea attached to main mass of humerus – Type II – Lateral wall separated • High/Low Classification • OTA B1.1 or .2 • OTA B2.1 or .2
Treatment Options - Type B <strong>Fractures</strong> • Non-operative – Non medically fit – Low, undisplaced intraarticular fractures • Operative – Treatment of choice – Muscle Pull significant force of displacement – Cannulated screws / Lag screws
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 and 10: • Standard X-rays • Traction X-
Page 11 and 12: Management Options - Type A Fractur
Page 13: Management Options - Type A Fractur
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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