{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:06:02Z","timestamp":1777662362543,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2023,11,9]],"date-time":"2023-11-09T00:00:00Z","timestamp":1699488000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hand (New York, N,Y.)"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:p>Restoring elbow joint motion is paramount for upper extremity optimum function. In end-stage elbow disease and stiffness, total elbow arthroplasty is the recommended option for older patients; however, for younger, highly demanding patients, interposition arthroplasty (IPA) is the management option of choice. We report a case of an 16-year-old female patient who presented after she had an open-grade IIIA, type AO 13C2.2 distal humerus fracture, which was managed initially by debridement and a cross-elbow external fixation. The decision was made to manage the fracture by open reduction and internal fixation through a posterior approach, and after performing an olecranon osteotomy, the surgeon found that the distal humerus segment was denuded of articular cartilage, so a decision was made after consulting the patient\u2019s parents to perform an IPA using fascia lata. At the final follow-up after 16 months, the fracture united completely, and the elbow ROM was from 15\u00b0 to 120\u00b0. Interposition arthroplasty is a valid option to manage unexpected denuded distal humerus articular cartilage while managing distal humerus fractures.<\/jats:p>","DOI":"10.1177\/15589447231209062","type":"journal-article","created":{"date-parts":[[2023,11,10]],"date-time":"2023-11-10T01:56:26Z","timestamp":1699581386000},"page":"NP6-NP11","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Interposition Arthroplasty in an Acute Setting to Treat Unexpected Denuded Distal Humerus Articular Cartilage After AO 13C2.2 Distal Humerus Fracture, Surgical Technique, and a Case Report"],"prefix":"10.1177","volume":"19","author":[{"given":"Mohamed","family":"Arafa","sequence":"first","affiliation":[{"name":"Assiut University Hospital, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0710-6487","authenticated-orcid":false,"given":"Ahmed A.","family":"Khalifa","sequence":"additional","affiliation":[{"name":"Qena Faculty of Medicine and University Hospital, South Valley University, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,11,9]]},"reference":[{"key":"bibr1-15589447231209062","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220212904238960."},{"key":"bibr2-15589447231209062","doi-asserted-by":"publisher","DOI":"10.21037\/aoj-19-178"},{"key":"bibr3-15589447231209062","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2021.05.023."},{"key":"bibr4-15589447231209062","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00329."},{"key":"bibr5-15589447231209062","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-20-11-704."},{"key":"bibr6-15589447231209062","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2011.01.002."},{"key":"bibr7-15589447231209062","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2012.12.037."},{"key":"bibr8-15589447231209062","doi-asserted-by":"publisher","DOI":"10.13107\/jocr.2250-0685.566."},{"key":"bibr9-15589447231209062","doi-asserted-by":"publisher","DOI":"10.3944\/AOTT.2014.14.0131."},{"key":"bibr10-15589447231209062","doi-asserted-by":"publisher","DOI":"10.1051\/sicotj\/2020006."},{"key":"bibr11-15589447231209062","doi-asserted-by":"publisher","DOI":"10.1097\/BTH.0000000000000235."}],"container-title":["HAND"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231209062","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15589447231209062","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15589447231209062","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:29:02Z","timestamp":1777447742000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15589447231209062"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,9]]},"references-count":11,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["10.1177\/15589447231209062"],"URL":"https:\/\/doi.org\/10.1177\/15589447231209062","relation":{},"ISSN":["1558-9447","1558-9455"],"issn-type":[{"value":"1558-9447","type":"print"},{"value":"1558-9455","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,11,9]]}}}