• J Shoulder Elbow Surg · Oct 2012

    Comparative Study

    Temporary joint-spanning external fixation before internal fixation of open intra-articular distal humeral fractures: a staged protocol.

    • Peter Kloen, David L Helfet, Dean G Lorich, Omesh Paul, Kim M Brouwer, and David Ring.
    • Department of Orthopaedic Surgery, Academic Medical Center, Amsterdam, The Netherlands. p.kloen@amc.uva.nl
    • J Shoulder Elbow Surg. 2012 Oct 1; 21 (10): 1348-56.

    IntroductionThis study determined outcomes after temporary joint-spanning external fixation before internal fixation of open intra-articular distal humeral fractures.Materials And MethodsA retrospective case analysis was done of all patients who were treated between 2000 and 2008 in 3 level I trauma centers with temporary joint-spanning external fixation before internal fixation of an open intra-articular distal humeral fracture. Healing rates, complications, Disabilities of Arm, Shoulder and Hand (DASH), and Smith and Cooney outcome scores were documented.ResultsThe study included 16 patients. Mean follow-up was 35.2 months. Fractures united after an average of 5.2 months. No complications specifically related to the external fixation occurred. The DASH outcome score averaged 15.1. Although complications occurred in 12 patients (9 patients requiring surgery), 10 of 16 had an excellent/good outcome score.ConclusionsTemporary joint-spanning external fixation before internal fixation of open intra-articular distal humeral fractures is a safe adjunct.Copyright © 2012 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

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