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European Journal of Trauma and Emergency Surgery

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01.12.2010 | Review Article

Definitive treatment in a spiral-fracture of the distal humerus shaft with severe osteoporosis after two failed osteosynthesis: problem and solution. A case report and literature review

verfasst von: F. Martetschlaeger, S. Siebenlist, G. Sandmann, T. Kraus, U. Stoeckle, M. Lucke

Erschienen in: European Journal of Trauma and Emergency Surgery | Ausgabe 6/2010

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Abstract

Introduction

Osteoporotic fractures in the elderly are often complicated by delayed union, pseudarthrosis or implant failure and are associated with considerable morbidity and prolonged reconvalescence. At present there is cumulating recommendation to treat this kind of fractures with angular stable implants.

Case presentation

Herein, we report on the successful definitive treatment of a displaced comminuted spiral-fracture of the distal humerus shaft in an 89-year-old woman after two attempts of internal fixation with angular stable implants had failed in severely osteoporotic bone.

Conclusion

The present case illustrates the problems we have faced with after a single locking plate fixation, especially in poor bone, and shows a possible solution by performing a double(-locking)-plate fixation.

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Titel: Definitive treatment in a spiral-fracture of the distal humerus shaft with severe osteoporosis after two failed osteosynthesis: problem and solution. A case report and literature review
verfasst von: F. Martetschlaeger
S. Siebenlist
G. Sandmann
T. Kraus
U. Stoeckle
M. Lucke
Publikationsdatum: 01.12.2010
Verlag: Urban and Vogel
Erschienen in: European Journal of Trauma and Emergency Surgery / Ausgabe 6/2010
Print ISSN: 1863-9933
Elektronische ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-010-0024-y

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Springer Medizin

Definitive treatment in a spiral-fracture of the distal humerus shaft with severe osteoporosis after two failed osteosynthesis: problem and solution. A case report and literature review

Abstract

Introduction

Case presentation

Conclusion

Arthropedia

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

Arthroskopie kann Knieprothese nicht hinauszögern

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

Ärztliche Empathie hilft gegen Rückenschmerzen

Update Orthopädie und Unfallchirurgie

Springer Medizin

Abstract

Introduction

Case presentation

Conclusion

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