Universität zu Köln

Dietz, S. -O., Nowak, T. E., Burkhart, K. J., Mueller, L. P. and Rommens, P. M. (2011). Fractures of the distal humerus in the elderly. Pros and cons of endoprosthetic replacement. Unfallchirurg, 114 (9). S. 801 - 815. NEW YORK: SPRINGER. ISSN 1433-044X

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Abstract

The intraarticular fracture of the distal humerus in an elderly patient remains a challenge for trauma surgeons. In case of severe co-morbidities and/or osteoporosis stable fixation with screws and plates is difficult and in some cases can be impossible. Even if osteosynthesis is feasible the clinical outcome is still incalculable due to delayed or non-union of the fracture fragments. Endoprosthetic replacement of the elbow joint for comminuted distal humerus fractures has been used for almost 20 years. The clinical results are predominantly excellent or good and better predictable than those of osteosynthesis. There still is no guideline when a prosthesis for the elbow joint should be used. We reviewed the literature and outline the current recommendations for diagnostics and surgical therapy for distal humerus fractures in the elderly.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Dietz, S. -O. UNSPECIFIED UNSPECIFIED UNSPECIFIED Nowak, T. E. UNSPECIFIED UNSPECIFIED UNSPECIFIED Burkhart, K. J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Mueller, L. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Rommens, P. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-489870
DOI:	10.1007/s00113-011-2080-0
Journal or Publication Title:	Unfallchirurg
Volume:	114
Number:	9
Page Range:	S. 801 - 815
Date:	2011
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-044X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language TOTAL ELBOW ARTHROPLASTY; REDUCTION-INTERNAL-FIXATION; SURGICAL-TREATMENT; EPIDEMIOLOGY; CAPITELLAR Multiple languages Emergency Medicine; Surgery Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/48987