Abstract
The management of comminuted intraarticular distal humeral fractures in the presence of osteoporosis continues to be a significant challenge for the treating orthopaedic surgeon. Not only are the economic and societal costs of osteoporosis-related fractures immense, significant patient loss in quality of life is seen after upper-extremity fractures in this population. There has been substantial advancement in both the surgical treatment and rehabilitation of distal humeral fractures in the last decade, including the refinement of surgical approach, evolution of implant design and implementation, and a significant shift towards total elbow arthroplasty for acute trauma. This study reviews the newest research aimed at understanding the role of surgical fixation as compared with total elbow arthroplasty in the management of these difficult fractures.
Published Version
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