{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:53:03Z","timestamp":1785365583923,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T00:00:00Z","timestamp":1601078400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the surgical approach, fixation, and clinical effect of comminuted coronal shear fracture of distal humerus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>From March 2017 to February 2019, we had used open reduction and internal fixation to treat 19 cases of comminuted distal humeral coronal shear fracture. There were 8 males and 11 females, with an average age of 44.6\u2009years (19\u201372\u2009years). There were 10 cases on left side and 9 cases on right side. All cases were closed fractures. According to Dubberley's classification, there were six cases of type 1, six cases of type 2, and seven cases of type 3. The lateral Kocher approach, extended Kocher approach, extended Kocher approach combined with a medial incision and the olecranon osteotomy approach were used for exposure. Headless screw, Kirschner wire, and suture were used to fix the fractures. Two cases were fixed with hinged elbow fixators additionally. The follow\u2010up was evaluated by Mayo Elbow Performance Score (MEPS).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All patients were followed up for an average of 17.1\u2009months (range, 12 to 30\u2009months). The average time of fracture union was 8.8\u2009\u00b1\u20091.9\u2009weeks. There were three cases of degenerative osteoarthritis of elbow and one case of heterotopic ossification after operation. A total of 10 patients underwent removal of implants. At the last follow\u2010up, the elbow flexion\u2010extension arc was 130.5\u00b0\u2009\u00b1\u200910.5\u00b0. The forearm rotation arc was 167.4\u00b0\u2009\u00b1\u20096.1\u00b0. The MEPS was 85.8\u2009\u00b1\u20098.5, the results were classified as excellent in nine cases, good in eight, and fair in two. The excellent and good rate was 89.5%. The time of fracture union of type 1 was shorter than type 3 (<jats:italic>P<\/jats:italic> = 0.024), the elbow flexion\u2010 extension arc of type 1 fracture was better than type 2 (<jats:italic>P<\/jats:italic> = 0.043) and type 3 (<jats:italic>P<\/jats:italic> = 0.012), the forearm rotation arc of type 1 fracture was better than type 3 (<jats:italic>P<\/jats:italic> = 0.006), the MEPS of type 1 fracture was better than type 2 (<jats:italic>P<\/jats:italic> = 0.009) and type 3 (<jats:italic>P<\/jats:italic> = 0.002).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Open reduction and internal fixation with headless screw, Kirschner wire, and suture can be used for the treatment of comminuted distal humeral coronal shear fractures. The elbow joint function can be restored satisfactorily.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.12765","type":"journal-article","created":{"date-parts":[[2020,9,26]],"date-time":"2020-09-26T09:13:53Z","timestamp":1601111633000},"page":"1439-1447","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Surgical Treatment of Comminuted Coronal Shear Fracture of Distal Humerus"],"prefix":"10.1111","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2757-2300","authenticated-orcid":false,"given":"Lin","family":"Teng","sequence":"first","affiliation":[{"name":"Department of Orthopedics The First People's Hospital in Shuangliu District\/West China Airport Hospital, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Orthopedics West China Hospital, Sichuan University  Chengdu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,9,26]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"325","volume-title":"The Elbow and Its Disorders","author":"Bryan RS","year":"1985"},{"key":"e_1_2_6_3_1","first-page":"315","volume-title":"The Elbow and Its Disorders","author":"Jupiter JB","year":"2000"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199601000-00007"},{"key":"e_1_2_6_5_1","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1016\/j.jse.2012.07.011","article-title":"Distal humeral coronal plane fractures: management, complications and outcome","volume":"22","author":"Durakbasa MO","year":"2013","journal-title":"J Shoulder Elbow Surg"},{"key":"e_1_2_6_6_1","doi-asserted-by":"crossref","first-page":"232","DOI":"10.2106\/00004623-200302000-00008","article-title":"Articular fractures of the distal part of the Humerus","volume":"85","author":"Ring D","year":"2003","journal-title":"J Bone Joint Surg Am"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v3.i5.405"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.01660"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2011.01.022"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.D.02954"},{"key":"e_1_2_6_11_1","volume-title":"Textbook of Operative Surgery","author":"Kocher T","year":"1911"},{"key":"e_1_2_6_12_1","first-page":"73","volume-title":"The Elbow and its Disorders","author":"Morrey BF","year":"1985"},{"key":"e_1_2_6_13_1","doi-asserted-by":"crossref","first-page":"297","DOI":"10.1097\/00005131-199109000-00007","article-title":"Surgical treatment of fractures of the capitellum in adults: a modified technique","volume":"5","author":"Mosheiff R","year":"1991","journal-title":"J Orthop Trauma"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.JHSB.2006.02.002"},{"key":"e_1_2_6_15_1","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.injury.2011.12.004","article-title":"Reconstruction of a Bryan and Morrey type I capitellar fracture in a sawbone model with four different fixation devices: an experimental study","volume":"43","author":"Koslowsky TC","year":"2012","journal-title":"Injury"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-1383(97)00107-1"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-009-0896-9"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2004.09.005"},{"key":"e_1_2_6_19_1","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/BF00395799","article-title":"Fixation of capitellar fractures with the Herbert screw","volume":"110","author":"Liberman N","year":"1991","journal-title":"Arch Orthop Trauma Surg"},{"key":"e_1_2_6_20_1","doi-asserted-by":"crossref","first-page":"S07490712150008","DOI":"10.1016\/j.hcl.2015.07.001","article-title":"Capitellar and trochlear fractures","volume":"31","author":"Carroll MJ","year":"2015","journal-title":"Hand Clin"},{"key":"e_1_2_6_21_1","doi-asserted-by":"crossref","first-page":"629","DOI":"10.2106\/JBJS.G.00017","article-title":"Acute osteochondral shear fracture of the capitellum in a twelve\u2010year\u2010old patient. 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