Distal humerus fractures: a review of current therapy concepts
Distal humerus fractures: a review of current therapy concepts
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DOI：
10.1007/s12178-016-9341-z
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发表时间：
2016-06-01
影响因子：
4.1
通讯作者：
Daniel, Rikli
中科院分区：
文献类型：
--
作者：
Amir, Steinitz;Jannis, Sailer;Daniel, Rikli
成人肱骨远端骨折约占所有肱骨骨折的三分之一。肱骨远端骨折的成功治疗取决于骨折的正确复位、必要时关节面重建、固定物的稳定性和刚性以及适当的康复治疗。在这篇综述中，我们评估了现有的文献并强调了当前的治疗概念。我们评估了内固定和肘关节置换术的发展，重点关注在老年患者中肱骨远端骨折发生率不断上升的背景下已建立的手术入路。因此，评估骨质疏松症等年龄依赖性合并症对成功治疗的影响。
Fractures of the distal humerus in the adult comprise approximately one third of all humeral fractures. Successful management of distal humerus fractures depends on correct reduction of the fracture, reconstruction of the articular surface if needed, stability and rigidity of the fixation, and appropriate rehabilitation. In this review, we evaluated the available literature and highlighted current therapy concepts. We assessed the evolution of internal fixation and elbow arthroplasty focusing on the established surgical approaches against the background of a growing incidence of distal humeral fractures in an aging patient population. Therefore evaluating the aspect and influence of age-dependent comorbidities like osteoporosis on successful treatment.