PMC9076338_01
Distal humerus fracture malunion. Anteroposterior and lateral view.
CRIOR2022-6041577.001.jpg
PMC9076338_01_CRIOR2022-6041577.001.jpg
fig1
C2.1 distal humerus fracture, according to the AOOTA classification (Figure 1). Computed tomography (CT) scan demonstrated callus formation of the articular block and nonunion of the supracondylar part of the fracture.
Postoperative radiographs of the elbow.
CRIOR2022-6041577.002.jpg
PMC9076338_01_CRIOR2022-6041577.002.jpg
fig2
Definite osteosynthesis was performed using two parallel plates applied in a compression mode, with as many as possible distal screws engaging the opposite articular fragment, as per O' Driscoll's principles (Figure 2).
Right elbow ROM six months postoperation.
CRIOR2022-6041577.003.jpg
PMC9076338_01_CRIOR2022-6041577.003.jpg
fig3
Only mild pain (visual analogue scale (VAS) for pain score: 1-2) was reported and the ROM of the elbow was 10 of extension to 120  of flexion, with a normal pronation and supination (Figure 3).
X-rays of the elbow six months postoperation.
CRIOR2022-6041577.004.jpg
PMC9076338_01_CRIOR2022-6041577.004.jpg
fig4
The X-ray revealed complete fracture consolidation in a satisfactory position (Figure 4).