title: Intra-articular osteotomy for distal humerus malunion.
abstract: Intra-articular osteotomy is considered in the rare case of malunion after a fracture of the distal humerus to restore humeral alignment and gain a functional arc of elbow motion. Traumatic and iatrogenic disruption of the limited blood flow to the distal end of the humerus resulting in avascular necrosis of capitellum or trochlea is a major pitfall of the this technically challenging procedure. Two cases are presented which illustrate the potential problems of intra-articular osteotomy for malunion of the distal humerus.
authors.affiliation: Department of Orthopaedic Surgery, Orthotrauma Research Center Amsterdam, Academic Medical Center Amsterdam, University of Amsterdam, Room L107, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands.
authors.forename: René K
authors.initials: RK
authors.lastname: Marti
authors.forename: Job
authors.initials: J
authors.lastname: Doornberg