title: [Distal humerus fracture-extensile approaches].
abstract: The majority of dislocated, intra-articular fractures are treated with an open reduction and internal fixation. In this paper we describe a variety of dorsal approaches to the distal humerus. Beside the dorsal approach through an olecranon osteotomy we also discuss the alternative dorsal approaches without osteotomy and their advantages and drawbacks. Moreover we discuss the preoperative planning and operative procedure. Early functional rehabilitation, without weight bearing, is important to achieve an optimal outcome. Finally we present the results of the last 6 years of patients treated operatively in our clinic with distal humeral fractures.
authors.affiliation: Klinik Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, 6016, Luzern, Schweiz. frank.beeres@luks.ch.
authors.forename: F J P
authors.initials: FJ
authors.lastname: Beeres
authors.affiliation: Klinik Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, 6016, Luzern, Schweiz.
authors.forename: F
authors.initials: F
authors.lastname: Oehme
authors.affiliation: Klinik Orthopädie und Unfallchirurgie, Luzerner Kantonsspital, 6016, Luzern, Schweiz.
authors.forename: R
authors.initials: R
authors.lastname: Babst
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003131:Combined Modality Therapy / Q000379:methods; D004551:Elbow Joint / Q000601:surgery*; D019317:Evidence-Based Medicine; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000534:rehabilitation* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D000070799:Open Fracture Reduction / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult; D000092464:Elbow Injuries
keywords: Anatomy; Classification; Olecranon osteotomy; Operative procedures; Rehabilitation outcome