Abstract：
Distal humerus intra-articular comminuted open fracture is a challenging injury, with nonunion, infection and stiffness considered as major concerns. We report a 58-year-old woman who was admitted to the emergency department from a car accident, sustaining an open wound with severe comminution of distal humerus and complete articular fracture, classified as AO/OTA 13C2 and Gustillo Anderson type IIIA. Debridement and external fixation was done first, followed by open reduction and internal fixation with fibular strut allograft. The patient showed excellent results in radiological and functional outcomes. Level of Evidence: Level V (Therapeutic).
摘要：
肱骨远端关节内粉碎性骨折是一种具有挑战性的损伤，与骨不连，感染和僵硬被认为是主要问题。我们报告了一名58岁的妇女，她因车祸进入急诊室，维持开放性伤口，肱骨远端严重粉碎，关节完全骨折，分类为AO/OTA13C2和GustilloAndersonIIIA型。首先进行清创和外固定，随后进行切开复位和同种异体腓骨支柱内固定。患者在放射学和功能方面表现出优异的结果。证据等级：V级（治疗）。
