Use of a Fibular Strut Allograft in an Osteoporotic Distal Humerus Fracture: A Case Report

Gregory R. Hildebrand, David M. Wright, Scott B. Marston, Julie A. Switzer

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

In 2004, nearly 120 000 fragility fractures of the humerus were reported. As the US population ages, this number is expected to increase. Fractures of the distal humerus can be treated in a closed or open fashion. Open treatment includes open reduction and internal fixation or total elbow arthroplasty. Open reduction and internal fixation typically involves dual plating for increased stability and early mobility. We present a case in which dual plating failed due to lack of screw purchase in osteoporotic bone. This patient's fracture was then revised with the use of a fibular strut allograft for improved stability and screw purchase. This method of fixation has not previously been described in the distal humerus and may prove useful in open fixation of osteoporotic distal humerus fractures.

Original languageEnglish (US)
Pages (from-to)167-171
Number of pages5
JournalGeriatric Orthopaedic Surgery & Rehabilitation
Volume3
Issue number4
DOIs
StatePublished - Dec 2012

Keywords

  • distal humerus
  • fibular strut allograft
  • fracture
  • osteoporosis

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