Fixation of complex elbow fractures, Part I. General overview and distal humerus fractures.

Complex elbow fractures are those intra-articular injuries which result in displacement or incongruity of one or more of the articulations between the distal humerus, proximal radius, or proximal ulna. The article discusses a system for clinical and radiographic evaluation, operative management, and rehabilitation of distal humerus fractures. This review presents detailed descriptions of skeletal reconstructive techniques for these injuries based on a review of the literature, biomechanic principles, and clinical experience. The importance of rigid internal fixation and early postoperative mobilization is emphasized.