Elbow fractures

A 19-year-old female fell while bicycling at a high speed and sustained an open fracture (Grade IIIA) of the distal humerus and presented through the New York Presbyterian Emergency Department.

Radiographs revealed a left-sided complex bicondylar distal humerus fracture with segmental bone loss. Following multiple Irrigation and Debridement (I&D) procedures a spanning external fixator was placed for initial stabilization and a skin graft was also placed.

Operative reduction and internal fixation (ORIF) was performed at 2 weeks following her injury with placement of bone graft and multiple plates and screws. She returned for regular follow-up visits and had an excellent outcome.

At 25 months post-operative her radiographs reveal a healed distal humerus fracture and clinically she had no pain with range of motion of the left elbow from 0 to 110° with full supination and pronation.

  • Figure A

    Figure A

    Anteroposterior (AP) and lateral x-rays revealing a left-sided bicondylar distal humerus fracture.

    Enlarge

  • Figure B

    Figure B

    X-Rays following placement of a spanning external fixator.

    Enlarge

  • Figure C

    Figure C

    Pre-operative plan for placement of bone graft and plate and screw fixation placed in a 90/90 fashion.

    Enlarge

  • Figure D

    Figure D

    X-Rays at 25 months illustrating a healed distal humerus fracture.

    Enlarge

  • Figure E

    Figure E

    Clinical images at 25 months illustrating excellent range of motion.

    Enlarge

Tags: ,

Our Patients

  • “I will be forever grateful to these amazing doctors.”

    ~ Olivia D’Angelo

    Read Full Story

  • “I can live a normal life and enjoy life once again.”

    ~ Ron Pollicino

    Read Full Story

  • “I got back up on my snowboard a month ago!”

    ~ Patricia Sykes

    Read Full Story

  • “Being an international patient, the welcome in that department was like home!”

    ~ Cecilia Chlimper de Batievsky

    Read Full Story

  • “I thank the doctors at NYP/HSS for giving me my life back.”

    ~ Caitlyn Kearns

    Read Full Story

  • “The entire hospital staff were just amazing from the instant we rolled through the doors throughout the entire stay.”

    ~ Victor Katz

    Read Full Story

  • “They are a huge part of the progress I have made.”

    ~ Larry Nipon

    Read Full Story

David L. Helfet, MD

535 East 70th Street
New York, NY 10021

212-606-1888 phone
212-628-4473 fax

New York Fracture Care

Contact Us

David L. Helfet, MD 
212-606-1888

Dean G. Lorich, MD
212-746-4509

David S. Wellman, MD
212-606-1504