[Increased stability in osteosynthesis of osteoporotic distal humerus with standard implants].
Surgery has proven to be the treatment of choice for distal humerus fractures if one wants to obtain the best results. However, this involves a high degree of complexity and therefore there are poor results.


OBJECTIVE
Is it possible to improve the stability of osteosynthesis for osteoporotic distal humerus fractures using standard plates placed together using a screw 4.5 mm in diameter?


METHODS
In an eight-month period a total of six female patients with distal humerus fractures underwent surgery at IMSS Trauma Emergencies Hospital.


METHODS
A 1/3 tubular lateral plate was fixed to a reconstruction plate 3.5 mm medially using a 4.5 mm cortical screw going from lateral to medial.


RESULTS
The Mayo Scale was used to assess the elbow.


RESULTS
Mean follow-up was 23.3 months; three right and three left elbows were operated; mean age of females was 78.83 years; three excellent, one good and two fair results were reported, and no poor results.


CONCLUSIONS
It is possible to achieve adequate stability with standard implants; good results are obtained.
E
E
Ramos-Maza
F
F
García-Estrada
G
G
Chávez-Covarrubias
D
D
Alcázar
D000368:Aged; D000369:Aged, 80 and over; D018771:Arthralgia / Q000209:etiology; D001860:Bone Plates; D001863:Bone Screws; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D005598:Fractures, Spontaneous / Q000209:etiology / Q000601:surgery*; D006801:Humans; D006810:Humeral Fractures / Q000209:etiology / Q000601:surgery*; D007593:Joint Instability / Q000517:prevention & control*; D008875:Middle Aged; D015663:Osteoporosis, Postmenopausal / Q000150:complications*; D010149:Postoperative Pain / Q000209:etiology; D011183:Postoperative Complications / Q000517:prevention & control*; D012086:Reoperation; D015599:Trauma Severity Indices; D016896:Treatment Outcome