AOT_Adv_M3CBL_ArticularFxUpperEx

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2025-03-06 0 0 3.59MB 35 页 5.9玖币

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Articular fractures upper extremity

moderated interactive session

AOTrauma Advances Course

Learning outcomes

•Manage complex elbow dislocations

•Evaluate evidence for fixation vs replacement in proximal humeral

fractures

•List the indications and surgical techniques for distal humeral fractures

•Discuss an algorithm for the use of ORIF vs external fixation vs pins in

the treatment of distal radial fractures

Is fixation with locked plating the treatment of

choice for distal radial fractures in your practice?

1. Never

2. Rarely

3. Occasionally

4. Commonly

Key points from lectures

Proximal humerus

•ORIF as a first treatment option in all reducible fractures

•New MIPO approaches

•Hemiarthroplasty for old patients/irreducible fractures/painful avascular

necrosis

Distal humerus

•Requires ORIF using both column fixation?

•Posterior approach utilizing an olecranon osteotomy is still

recommended.

•Predictable outcomes

Key points from lectures

Elbow fracture dislocation

•Injury pattern tells you what structures are likely to be injured and how

•The LCL is more important than the MCL

•Keep elbow concentric

•Coronoid fractures can be a problem

Distal radius fractures, C3 types

•Stable fixation is the key to good outcomes

•Patient function improves up to 1 year postoperatively

•DASH scores improve over 2 years, but uncommonly returned to

baseline

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摘要：

ArticularfracturesupperextremitymoderatedinteractivesessionAOTraumaAdvancesCourseLearningoutcomes•Managecomplexelbowdislocations•Evaluateevidenceforfixationvsreplacementinproximalhumeralfractures•Listtheindicationsandsurgicaltechniquesfordistalhumeralfractures•DiscussanalgorithmfortheuseofORIFvsexte...

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AOT_Adv_M3CBL_ArticularFxUpperEx

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