Distal Humerus Fractures

Besides the restoration of the joint integrity, the goal of any operative strategy is to enable joint stability and thus functional rehabilitation. The open anatomical joint reduction and internal osteosynthesis according to the principles of the AO represent the current standard care of distal humerus fractures. Percutaneous K-wire osteosynthesis, as well as other minimal procedures, do not achieve primary stability and thus are not adequate care for adults. Whenever possible, the reconstruction of the joint should take place within 24 h after trauma. The early establishment of exercise-stable conditions enables early functional rehabilitation, which is essential for good functional outcomes. Furthermore, this reduces complications such as infection or heterotopic ossification.