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Surgical Treatment Strategy for Distal Humerus Intra-articular Fractures
Clin Should Elbow 2019;22:113-117
Published online June 1, 2019;  https://doi.org/10.5397/cise.2019.22.2.113
© 2019 Korean Shoulder and Elbow Society.

Hyo-Jin Lee

Department of Orthopedic Surgery, Seoul St. Mary셲 Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea
Correspondence to: Correspondence to: Hyo-Jin Lee
Department of Orthopedic Surgery, The Catholic University of Korea, Seoul St. Mary셲 Hospital, 222 Banpo-daero, Seocho-gu, Seoul 06591, Korea
Tel: +82-2-2258-6121, Fax: +82-2-535-9834, E-mail: hyojin1229@gmail.com, ORCID: https://orcid.org/0000-0002-7708-4754
Review article does not need an IRB approval.
Received December 14, 2018; Revised March 1, 2019; Accepted April 7, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Treating distal humerus fractures, especially those involving intra-articular lesions, is complex and often technically demanding. Although there still exist many controversial issues, the goal of treatment is to establish anatomical stable fixation by restoring the two columns and the articular surface. Universally, a posterior midline incision is applied, and the approach varies according to the further management of the triceps or olecranon. Evidence supports dual plate fixation as the optimal fixation method, and debates regarding appropriate plating configuration are still ongoing. As multiple clinical studies comparing results of parallel and perpendicular plate fixation have shown no actual difference, it is important to place the plates according to the fracture configuration.
Keywords : Humerus; Intra-articular fractures; Fracture fixation