Circular external fixation for treatment of distal humerus fractures: Case report

Louis Lewandowski*, Scott M. Tintle, Carl Daniel, Joseph A. O'Daniel, Mark Fleming, John Keeling

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


High-energy blasts can lead to complex intra-articular distal humerus fractures with extensive soft tissue loss, and treatment is fraught with complications. We describe 2 patients with such injuries treated successfully with the use of aggressive wound management followed by distal humerus fracture stabilization with a circular external fixator. We chose this circular external fixator over the Ilizarov frame because of our experience and success in the treatment of open tibia fractures with negligible malalignment and high union rate. This circular external fixator allows for indirect reduction of fracture fragments over time to improve final alignment with great control to fine-tune the reduction postoperatively. In our humerus cases, fracture union was achieved with good alignment and acceptable functional range of motion. Symptomatic heterotopic ossification did not develop despite the presence of multiple risk factors.

Original languageEnglish
Pages (from-to)1155-1160
Number of pages6
JournalJournal of Hand Surgery
Issue number6
StatePublished - Jun 2013
Externally publishedYes


  • Combat-related fracture treatment
  • Taylor spatial frame
  • complex intraarticular fractures
  • novel fracture treatment
  • open fracture


Dive into the research topics of 'Circular external fixation for treatment of distal humerus fractures: Case report'. Together they form a unique fingerprint.

Cite this