Distal humeral fracture occurs in adults not very frequently, which accounts for the 2% in the whole body fracture and occurs frequently in the ones who are elder than 65. It is caused by high-energy violence which is a kind of common damage affecting the elbow function.
Distal humeral fracture consists of humeral supracondylar fracture and humeral intercondylar fracture. The most general sorting technique is AO sorting system. In the system, type A is extra-articular fracture, type B is part intra-articular fractures, type C is Intra-articular completely fractures, accompanied by stem epiphyseal separation. According to British epidemiological data, type A accounts for 38.7%, and type B 24.1%, type C 37.2%.
Now Distal humeral fracture operation result shows that surgery is suitable for most cases. None surgery treatment is only suitable for none shifted ones or ones who can't tolerate anesthesia or patients with alzheimer's disease.
Dual steel plate inner fixation:
It is suitable for all adults' dual-column distal humeral fracture. It demands that both column is placed a strong steel plate. The direction between the two pieces of steel plate is 90 degrees or 180 degrees
Total elbow replacement therapy:
In the Displaced comminuted Distal humeral fracture which is hard to recover, inner fixation can not make the fracture stable, total elbow replacement therapy can be applied for gerontal patient.
1. food which contains High protein, high quantity of heat, calcium-rich, and is easy to digest.
2. Lay down the limb on soft pillow which is parallel to the body, fixed in front of chest when in action.
3. Keep functional training, strengthen elbow joint exercise such as stretch and rotary activities after external fixation is been released. Avoid strenuous exercise.
4. Regularly review the X ray film to know about fracture healing.
