Intra-articular osteotomy is considered in the rare case of malunion after a fracture of the distal humerus to restore humeral alignment and gain a functional arc of elbow motion. Traumatic and iatrogenic disruption of the limited blood flow to the distal end of the humerus resulting in avascular necrosis of capitellum or trochlea is a major pitfall of the this technically challenging procedure...

       Background: An intra-articular distal humerus malunion can be disabling. To improve function, reduce pain and/ or prevent further secondary osteoarthritis an intra-articular corrective osteotomy can be considered. Herein we present the indications, practical guidelines for pre- operative planning and surgical technique. Subsequently, we provide long-term results in a small series.   Meth...

The radial nerve is at risk of injury during surgical approaches to the humeral shaft. Previous authors have described an anterolateral approach to the humerus limited by the radial nerve, requiring that distal dissection be carried anterior into a neurovascularly crowded interval. A novel extensile approach is described using a neuromuscular bridge to protect the radial nerve, thus enabling sa...

Nine children sustained a second fracture of the distal humerus after union of an ipsilateral supracondylar fracture which had healed with cubitus varus. There were eight boys and one girl with a mean age of five years (1 to 8) at the time of the second fracture which occurred at a mean of 1.5 years after the first. In all patients, the second fracture was an epiphyseal injury of the distal hum...

BACKGROUND An intra-articular distal humerus malunion can be disabling. To improve function, reduce pain and/or prevent further secondary osteoarthritis an intra-articular corrective osteotomy can be considered. Herein we present the indications, practical guidelines for pre- operative planning and surgical technique. Subsequently, we provide long-term results in a small series. METHODS We in...

Introduction Corrective osteotomy for malunited fractures of the upper extremity remains a challenging procedure. Anatomical correction is the key to good clinical outcome after corrective osteotomy for malunited fractures, especially in cases of the upper extremity. To make a precise deformity correction in malunion, we have developed a computer-assisted system for corrective surgery, includin...

background: an intra-articular distal humerus mal:union: can be disabling. to improve function, reduce pain and/ or prevent further secondary osteoarthritis an intra-articular corrective osteotomy can be considered. herein we present the indications, practical guidelines for pre- operative planning and surgical technique. subsequently, we provide long-term results in a small series.   methods: ...