{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:13:17Z","timestamp":1780733597371,"version":"3.54.1"},"reference-count":25,"publisher":"Korean Shoulder and Elbow Society","issue":"2","license":[{"start":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T00:00:00Z","timestamp":1590451200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["cisejournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Shoulder Elbow"],"published-print":{"date-parts":[[2020,6,1]]},"abstract":"<jats:p>Background: Intra-articular distal humeral fractures can be surgically challenging. It remains under discussion whether open reduction internal fixation (ORIF) or total elbow arthroplasty (TEA) is more beneficial for treatment of the elderly. This study aimed to compare the clinical and functional outcomes of ORIF and TEA for managing intra-articular distal humerus fractures in patients aged 65 years or older.Methods: Patients who underwent ORIF (n=28) or TEA (n=43) for in intra-articular distal humerus fracture between May 2008 and December 2018 were reviewed. Range of motion, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder, and Hand (DASH) score, radiologic outcomes, and surgical complications were evaluated at the final follow-up visit.Results: The ORIF and TEA groups showed a mean arc of flexion\u2013extension of 97\u00b0\u00b121\u00b0 and 101\u00b0\u00b112\u00b0, respectively. The mean MEPS and DASH scores were 94\u00b115 and 27\u00b112 points, respectively, in the ORIF group and 81\u00b127 and 47\u00b128 points in the TEA group. This difference was statistically significant. The incidence of total complications was similar between the groups.Conclusions: In patients older than 65 years with intra-articular distal humerus fracture, ORIF had better outcomes than TEA. <\/jats:p>","DOI":"10.5397\/cise.2020.00052","type":"journal-article","created":{"date-parts":[[2020,5,26]],"date-time":"2020-05-26T08:01:40Z","timestamp":1590480100000},"page":"94-99","update-policy":"https:\/\/doi.org\/10.5397\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Comparison of open reduction and internal fixation with total elbow arthroplasty for intra-articular distal humeral fractures in older age: a retrospective study"],"prefix":"10.5397","volume":"23","author":[{"given":"Baik","family":"Jong Seok","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee","family":"Sung Hyun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun 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