[Intra-articular fractures of the distal humerus : aspects of fracture treatment in geriatric patients]

Orthopade. 2014 Apr;43(4):347-52. doi: 10.1007/s00132-013-2162-5.
[Article in German]

Abstract

Background: In the context of osteoporotic fractures, injuries to the distal humerus are quite uncommon, meaning that each surgeon will have only limited experience.

Objective: This leads automatically to the question to what extent treatment recommendations can be transferred to the geriatric population.

Methods: Looking at the evidence-based literature, recommendations could be limited to three prospective studies. However, this only means that the remaining literature sources do not provide sufficient statistical power to be able to draw conclusions.

Results and discussion: For the population of geriatric patients a thorough compilation of the contemporary literature is advisable. This review article on the currently available literature evaluates and individually discusses the relevant aspects of fracture treatment in order to develop recommendations for routine daily practice.

Publication types

  • Meta-Analysis
  • Review

MeSH terms

  • Aged
  • Aged, 80 and over
  • Elbow Injuries*
  • Elbow Joint / diagnostic imaging
  • Elbow Joint / surgery*
  • Evidence-Based Medicine
  • Female
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Humans
  • Humeral Fractures / diagnostic imaging
  • Humeral Fractures / surgery*
  • Joint Instability / prevention & control*
  • Joint Instability / surgery*
  • Male
  • Middle Aged
  • Osteoporotic Fractures / diagnostic imaging
  • Osteoporotic Fractures / surgery*
  • Radiography
  • Treatment Outcome