Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus
Several articles have described arthroscopic fixation of coronal shear fractures of the distal humerus. However, not all of them have used purely arthroscopic techniques. In this Technical Note we describe another technique for intra-articular distal humeral fracture fixation using arthroscopy alone...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-04-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628720303741 |
| _version_ | 1819068261466112000 |
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| author | Thanh Van Nguyen, M.D. Erica Kholinne, M.D., Ph.D. Khalid AlSomali, M.D. Chang-Ho Cho, M.D. Kyoung-Hwan Koh, M.D., Ph.D. In-Ho Jeon, M.D, Ph.D. |
| author_facet | Thanh Van Nguyen, M.D. Erica Kholinne, M.D., Ph.D. Khalid AlSomali, M.D. Chang-Ho Cho, M.D. Kyoung-Hwan Koh, M.D., Ph.D. In-Ho Jeon, M.D, Ph.D. |
| author_sort | Thanh Van Nguyen, M.D. |
| collection | DOAJ |
| description | Several articles have described arthroscopic fixation of coronal shear fractures of the distal humerus. However, not all of them have used purely arthroscopic techniques. In this Technical Note we describe another technique for intra-articular distal humeral fracture fixation using arthroscopy alone. Standard proximal anteromedial, proximal anterolateral, and posterolateral viewing portals are established with soft spot portal for reduction. During intra-articular examination, the fragment involving the capitellum and the trochlea as 1 piece is detected. Closed manipulative reduction under anesthesia is conducted with distraction, varus force, and gradual elbow extension. After closed reduction, reduction of the fragment more precisely under arthroscopic visualization using probe and elevator is performed. The fragment is temporarily fixed using 2 Kirschner wires from posterior direction. Anatomic reduction is confirmed with an image intensifier. Screw guide pin is inserted posteroanteriorly under image intensification, and a headless compression screw is placed over each wire. We describe a safe, reproducible, and minimal invasive technique for the arthroscopic treatment of coronal shear fractures of the distal humerus. |
| first_indexed | 2024-12-21T16:31:20Z |
| format | Article |
| id | doaj.art-a8e74df5205643ccb0e2bdef81f26e5f |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-21T16:31:20Z |
| publishDate | 2021-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-a8e74df5205643ccb0e2bdef81f26e5f2022-12-21T18:57:21ZengElsevierArthroscopy Techniques2212-62872021-04-01104e949e955Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal HumerusThanh Van Nguyen, M.D.0Erica Kholinne, M.D., Ph.D.1Khalid AlSomali, M.D.2Chang-Ho Cho, M.D.3Kyoung-Hwan Koh, M.D., Ph.D.4In-Ho Jeon, M.D, Ph.D.5Department of Orthopedic Surgery, University Medical Center, Ho Chi Minh City, VietnamDepartment of Orthopaedic Surgery, St. Carolus Hospital, Faculty of Medicine, Trisakti University, Jakarta, Indonesia; Department of Orthopedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of KoreaDepartment of Orthopedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea; Department of Orthopaedic Surgery, King Fahad Military Medical Complex, Dhahran, Saudi ArabiaDepartment of Orthopedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of KoreaDepartment of Orthopedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of KoreaDepartment of Orthopedic Surgery, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, Republic of Korea; Address correspondence to In-Ho Jeon, M.D., Ph.D., Department of Orthopedic Surgery, University of Ulsan, Asan Medical Center, 86 Asanbyeongwon-gil, Songpa-gu, Seoul, Republic of Korea, 138-736.Several articles have described arthroscopic fixation of coronal shear fractures of the distal humerus. However, not all of them have used purely arthroscopic techniques. In this Technical Note we describe another technique for intra-articular distal humeral fracture fixation using arthroscopy alone. Standard proximal anteromedial, proximal anterolateral, and posterolateral viewing portals are established with soft spot portal for reduction. During intra-articular examination, the fragment involving the capitellum and the trochlea as 1 piece is detected. Closed manipulative reduction under anesthesia is conducted with distraction, varus force, and gradual elbow extension. After closed reduction, reduction of the fragment more precisely under arthroscopic visualization using probe and elevator is performed. The fragment is temporarily fixed using 2 Kirschner wires from posterior direction. Anatomic reduction is confirmed with an image intensifier. Screw guide pin is inserted posteroanteriorly under image intensification, and a headless compression screw is placed over each wire. We describe a safe, reproducible, and minimal invasive technique for the arthroscopic treatment of coronal shear fractures of the distal humerus.http://www.sciencedirect.com/science/article/pii/S2212628720303741 |
| spellingShingle | Thanh Van Nguyen, M.D. Erica Kholinne, M.D., Ph.D. Khalid AlSomali, M.D. Chang-Ho Cho, M.D. Kyoung-Hwan Koh, M.D., Ph.D. In-Ho Jeon, M.D, Ph.D. Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus Arthroscopy Techniques |
| title | Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus |
| title_full | Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus |
| title_fullStr | Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus |
| title_full_unstemmed | Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus |
| title_short | Technique for Arthroscopic-Assisted Reduction and Cannulated Screw Fixation for Coronal Shear Fractures of the Distal Humerus |
| title_sort | technique for arthroscopic assisted reduction and cannulated screw fixation for coronal shear fractures of the distal humerus |
| url | http://www.sciencedirect.com/science/article/pii/S2212628720303741 |
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