Distal Humerus Fractures: Open Reduction Internal Fixation

Abstract

Distal humerus fractures are challenging injuries for the upper extremity surgeon. However, recent techniques in open reduction internal fixation have been powerful tools in getting positive outcomes. To get such results, the surgeon must be aware of how to properly use these techniques in their respective practices. The method of fixation depends on the fracture, taking the degree of comminution and the restoration of the columns and articular surface into account. This article helps surgeons understand the concepts behind open reduction internal fixation of the distal humerus and makes them aware of pitfalls that may lead to negative results.

Keywords: Distal humerus fracture; Fracture fixation; Open reduction internal fixation; Orthogonal plates; Parallel plates; Plate fixation.