ArticleHand (New York, N.Y.)2024
Interposition Arthroplasty in an Acute Setting to Treat Unexpected Denuded Distal Humerus Articular Cartilage After AO 13C2.2 Distal Humerus Fracture, Surgical Technique, and a Case Report.
Article in Hand (New York, N.Y.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Restoring elbow joint motion is paramount for upper extremity optimum function. In end-stage elbow disease and stiffness, total elbow arthroplasty is the recommended option for older patients; however, for younger, highly demanding patients, interposition arthroplasty (IPA) is the management option of choice. We report a case of an 16-year-old female patient who presented after she had an open-grade IIIA, type AO 13C2.2 distal humerus fracture, which was managed initially by debridement and a cross-elbow external fixation. The decision was made to manage the fracture by open reduction and internal fixation through a posterior approach, and after performing an olecranon osteotomy, the surgeon found that the distal humerus segment was denuded of articular cartilage, so a decision was made after consulting the patient's parents to perform an IPA using fascia lata. At the final follow-up after 16 months, the fracture united completely, and the elbow ROM was from 15° to 120°. Interposition arthroplasty is a valid option to manage unexpected denuded distal humerus articular cartilage while managing distal humerus fractures.
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