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The Use Of Hinged External Fixation To Provide Additional Stabilization For Fractures Of The Distal Humerus, Christopher R. Deuel, Philip Wolinsky, Eric Shepherd, Scott Hazelwood
The Use Of Hinged External Fixation To Provide Additional Stabilization For Fractures Of The Distal Humerus, Christopher R. Deuel, Philip Wolinsky, Eric Shepherd, Scott Hazelwood
Biomedical Engineering
Objective: To assess improvements in fixation stability when a hinged unilateral external fixator is used to supplement compromised internal fixation for distal humerus fractures.
Methods: Removing a 1-cm section of the distal humerus in cadaveric whole-arm specimens created a comminuted distal humerus fracture model (AO type 13-A3). Fixation was then performed using different constructs representing optimal, compromised, or supplemented internal fixation. Internal fixation consisted of either 2 reconstruction plates with 1, 2, or 3 (optimal) distal attachment screws, or crossing medial and lateral cortical screws. A hinged external fixator was applied in combination with compromised internal fixation. The stability of …