← All decks
Orthopaedics
Distal Humerus Fractures (AO Based)
Built from AO Surgery Reference: Orthopedic Trauma, Adult Trauma (AO Foundation)
What’s inside
3 sections · 97 slides
Overview
- Introduction
- Distal humeral fractures: the problem
- Anatomy and biomechanics
- Bony anatomy and triangle of stability
- Bony anatomy and triangle of stability
- Lateral and medial columns
- Lateral and medial columns
- Soft-tissue stabilizers of the elbow
- Soft-tissue stabilizers of the elbow
- Blood supply of the distal humerus
- Blood supply of the distal humerus
- Nerves at risk around the elbow
- Nerves at risk around the elbow
- Clinical and radiographic assessment
- History and clinical examination
- Staged management of open fractures
- Staged management of open fractures
- Radiographs and CT
- Patterns underestimated on plain films
- Patterns underestimated on plain films
- Assessment of elbow stability
- Assessment of elbow stability
- AO/OTA classification
- AO/OTA type A: extraarticular
- AO/OTA type B: partial articular
- AO/OTA type B: partial articular
- AO/OTA type C: complete articular
- AO/OTA type tree for the distal humerus
- Fracture types as drawn by AO
- Fracture types as drawn by AO (cont.)
- Fracture types as drawn by AO (cont.)
- Epicondylar avulsions (13A1)
- Epicondylar avulsions: definition
- Treatment options: epicondylar avulsions
- Treatment options: epicondylar avulsions (cont.)
- Screw fixation of the medial epicondyle
- Screw fixation of the medial epicondyle
- Metaphyseal fractures (13A2, 13A3)
- Metaphyseal fractures: features
- Treatment options: metaphyseal fractures
- Treatment options: metaphyseal fractures (cont.)
- Decision logic: metaphyseal fractures
- Dual plating of a transverse fracture
- Dual plating of a transverse fracture
- Partial articular fractures (13B)
- Sagittal fractures (13B1, 13B2): features
- Treatment options: lateral sagittal (13B1)
- Treatment options: lateral sagittal (13B1) (cont.)
- Treatment options: medial sagittal (13B2)
- Treatment options: medial sagittal (13B2) (cont.)
- Coronal fractures (13B3): features
- Coronal fractures (13B3): features
- Headless screw fixation of the capitellum
- Headless screw fixation of the capitellum
- Complete articular fractures (13C)
- Complete articular fractures: principles
- Complete articular fractures: principles
- Treatment options: complete articular
- Treatment options: complete articular (cont.)
- ORIF sequence: complete articular
- ORIF sequence: complete articular
- Compression versus bridge plating
- Compression versus bridge plating
- Pitfalls in articular reconstruction
- Pitfalls in articular reconstruction
- Approaches, positioning and imaging
- Posterior approaches to the distal humerus
- Posterior approaches to the distal humerus
- Lateral, medial and anterior approaches
- Chevron olecranon osteotomy
- Chevron olecranon osteotomy
- Patient positioning
- Patient positioning
- Intraoperative imaging views
- Intraoperative imaging views
Arthroplasty and nonoperative care
- Total elbow versus hemiarthroplasty
- Total elbow versus hemiarthroplasty
- Arthroplasty: key technical points
- Arthroplasty: key technical points
- Splinting and temporary external fixation
- Splinting and temporary external fixation
Aftercare and complications
- Rehabilitation after operative treatment
- Rehabilitation after operative treatment
- Complications by timing
- Complications by timing
- Heterotopic ossification
- Heterotopic ossification
- Take-home messages
- References (1 of 6)
- References (2 of 6)
- References (3 of 6)
- References (4 of 6)
- References (5 of 6)
- References (6 of 6)
- Join our WhatsApp groups