Description
This VTT document captures a presentation by Lee Van Rensburg on complex elbow injuries, focusing particularly on the approach to articular fractures of the distal humerus. The segment begins with Speaker 1 introducing Lee, who expresses his gratitude for the opportunity to share insights on such injuries. He lays out the discussion outline, highlighting the importance of differentiating between injuries that can be fixed or replaced and those that can be easily overlooked.
Van Rensburg presents two case studies showcasing shear fractures of the capitulum, emphasizing the need for a detailed analysis through volume rendering to differentiate between various types of fractures and their implications for treatment. He explains the intricacies of determining whether to operate on particular fractures, leaning towards non-operative or operative fixations depending on comminution and stability of the fracture.
In the course of the presentation, Van Rensburg breaks down the classifications of the fractures, illustrating different parts of the distal humerus involved in injuries and the significance of each. He discusses fixation strategies for small osteochondral fragments using advanced threaded titanium k-wires, demonstrating how complex injuries can be effectively managed without necessary osteotomies unless absolutely required.
Towards the conclusion, he asserts the importance of treating capitulum fractures as part of a broader spectrum of articular fractures, encouraging colleagues to consider innovative approaches rather than defaulting to arthroplasty when faced with complex cases. The presentation effectively balances technical details with clinical decision-making aspects, underlining the need for personalized patient care based on the patient's age, health, and activity goals.