Lateral Epicondyle Osteotomy Approach for Coronal Shear Fractures of the Distal Humerus: Report of Three Cases and Review of the Literature

Overview

Journal World J Clin Cases

Publisher Baishideng Publishing Group

Specialty General Medicine

Date 2021 Jun 18

PMID 34141796

Citations 3

Authors

Jie Li

Vidmi Taolam Martin

Zhi-Wen Su

Dong-Tai Li

Qi-Yi Zhai

Bo Yu

Affiliations

Soon will be listed here.

Abstract

Background: Coronal shear fractures of the distal humerus are rare injuries and are technically challenging to manage. Open reduction and internal fixation (ORIF) has become the preferred treatment because it provides anatomical reduction, stable internal fixation, and early motion, but the optimal surgical approach remains controversial.

Case Summary: We report three cases of coronal shear fractures of the distal humerus treated successfully by ORIF a novel surgical approach, in which lateral epicondyle osteotomy was performed based on the extended lateral approach. We named the novel surgical approach the lateral epicondyle osteotomy approach. All patients underwent surgical treatment and were discharged successfully. All patients had excellent functional results according to the Mayo elbow performance score. The average range of motion was 118° in flexion/extension and 172° in pronation/ supination. Only case 2 had a complication, which was implant prolapse.

Conclusion: We demonstrated that the lateral epicondyle osteotomy approach in ORIF is effective and safe for coronal shear fractures of the distal humerus.

Citing Articles

Distal humeral osteotomy combined with posterior olecranon osteotomy approach for coronal shear fracture of the distal humerus: a case report.

Ishizaka K, Moriya K, Yamamoto K, Matsuyama Y, Koda H, Tsubokawa N JSES Rev Rep Tech. 2023; 3(2):256-259.

PMID: 37588445 PMC: 10426633. DOI: 10.1016/j.xrrt.2022.12.005.

Capitellum and trochlea fractures. A systematic review of the literature.

Stavrakakis I, Sylignakis P, Magarakis G, Ntontis Z, Chaniotakis C, Alvanos A J Clin Orthop Trauma. 2022; 31:101922.

PMID: 35789821 PMC: 9249815. DOI: 10.1016/j.jcot.2022.101922.

Coronal Shear Fractures of the Distal Humerus.

Bellato E, Giai Via R, Bachman D, Zorzolo I, Marmotti A, Castoldi F J Funct Morphol Kinesiol. 2022; 7(1).

PMID: 35076551 PMC: 8788494. DOI: 10.3390/jfmk7010007.

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