Distal humeral replacement after failed continuous passive motion in a T-condylar fracture.
Comminuted osteoporotic intercondylar fractures of the distal humerus are a treatment dilemma. We report the case of an elderly patient with a type C3 T-condylar fracture initially treated with continuous passive motion. This treatment resulted in a loss of medial stability. Pain relief and adequate function were achieved with a custom distal humeral replacement and repair of the medial collateral ligament.
Behrman
M J
MJ
New York Orthopaedic Hospital, Columbia Presbyterian Medical Center, New York.
Bigliani
L U
LU
D000368:Aged; D004551:Elbow Joint / Q000601:surgery*; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006811:Humerus / Q000000981:diagnostic imaging / Q000601:surgery*; D007595:Joint Prosthesis; D008023:Ligaments, Articular / Q000601:surgery; D015915:Motion Therapy, Continuous Passive; D011859:Radiography