Min William, Anwar Abbas, Ding Bryan C, Tejwani Nirmal C
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 550 First Avenue, New York, NY 10016, USA.
Bull NYU Hosp Jt Dis. 2010;68(4):257-61.
Fractures of the distal humerus can be difficult to treat due to the periarticular nature of these injuries and the complexity of the elbow joint. Although anatomic and timely repair of the distal humerus with meticulous handling of soft tissues and appropriate postoperative therapy all help to optimize results, an open fracture presents other challenges that may limit successful outcomes in spite of these measures. Open fractures have been found to affect younger males involved in high-energy injuries, as well as older, osteoporotic females involved in lower energy situations. Successful management of these injuries requires urgent and aggressive soft tissue management, skeletal stabilization, and treatment of neurovascular insult (if applicable). This article presents a review of the current literature available concerning the epidemiology, assessment and examination, treatment options, complications, and outcomes of patients with open distal humerus fractures.
肱骨远端骨折因其损伤的关节周围性质以及肘关节的复杂性而难以治疗。尽管对肱骨远端进行解剖复位并及时修复，同时细致处理软组织以及进行适当的术后治疗，所有这些都有助于优化治疗效果，但开放性骨折带来了其他挑战，尽管采取了这些措施，仍可能限制治疗的成功结果。已发现开放性骨折影响参与高能量损伤的年轻男性，以及参与低能量损伤情况的老年骨质疏松女性。成功处理这些损伤需要紧急且积极地处理软组织、进行骨骼稳定以及治疗神经血管损伤（如适用）。本文对有关开放性肱骨远端骨折患者的流行病学、评估与检查、治疗选择、并发症及治疗结果的现有文献进行综述。
