Elbow: Trauma

Staged Versus Acute Definitive Management of Open Distal Humerus Fractures

Min W, Ding BC, Tejwani NC (Univ of California, Sacramento; Baylor Univ Med Ctr, Dallas, TX; NYU Hosp for Joint Diseases) J Trauma 71:944-947, 2011^§

Abstract

Background

Open distal humerus fractures are associated with soft tissue and bony injury. This study compares the results of a staged protocol using initial joint spanning external fixation and delayed definitive fixation to acute definitive fixation.

Methods

Treated open distal humerus fractures were retrospectively reviewed, with patients examined at 2   weeks, 6   weeks, 12   weeks, 26   weeks, and 52   weeks after definitive surgery. Outcomes were determined radiographically by union rate and clinically by range of motion, Short Musculoskeletal Function Assessment, Short Form-36, and Mayo Elbow Performance Index.

Results

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