O'Driscoll and Morrey identified indications for surgical management of fractures about the elbow associated with a elbow prosthesis. The authors are from the Mayo Clinic.
Fracture
Surgery
loose prosthesis and fracture of humeral diaphysis
revision
loose prosthesis and fracture of ulnar diaphysis
revision
secure prosthesis and fracture of the ulnar diaphysis
open reduction and internal fixation (ORIF)
displaced fracture of olecranon
ORIF
Indications for nonsurgical management:
(1) undisplaced fracture of the olecranon with intact soft tissue extensor mechanism
(2) secure prosthesis and fracture of the humeral diaphysis
(3) periarticular (condylar, epicondylar) fractures of the humerus
(4) undisplaced cracks in the bone
where:
• Periprosthetic fractures of the coronoid process are rare.
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