title: The use of pre-contoured plates in the treatment of C2-C3 fractures of the distal humerus: clinical experience.
abstract: Open reduction and internal fixation is the treatment of choice in distal humerus fractures. The aims of the treatment are to obtain anatomic reconstruction and restoration of the elbow's geometry followed by stable internal fixation that allows immediate rehabilitation. The plates are pre-contoured to fit the natural anatomy of the elbow and in the case of complex fractures they provide a guide for the anatomic restoration of the distal humerus. The two plates are placed parallel with the screws locked together by interdigitation creating a fixed angle in the distal fragments that provides stability to the entire distal humerus. Using this method we obtained good results according to the Mayo Elbow Performance Score (MEPS) and we are able to reduce the incidence of complications. Our experience shows also that it can be useful to obtain an anatomical reduction of distal humeral fractures using the pre-contoured plates in a parallel position recovering the anatomical antiversion of the articular surface.
authors.affiliation: Dipartimento di Ortopedia e Traumatologia, Policlinico di Modena, Via del Pozzo 71, 41100 Modena, Italy. celli.andrea1970@libero.it
authors.forename: Andrea
authors.initials: A
authors.lastname: Celli
authors.forename: Maria Teresa
authors.initials: MT
authors.lastname: Donini
authors.forename: Claudio
authors.initials: C
authors.lastname: Minervini
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D001863:Bone Screws; D004551:Elbow Joint / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation; D018460:Fractures, Comminuted / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000517:prevention & control; D011859:Radiography; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D014457:Ulna / Q000601:surgery; D000092464:Elbow Injuries