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Advances in elbow fracture management

Fractures of the distal humerus, olecranon, and radial head continue to challenge orthopaedic surgeons. The purpose of this review is to update the reader on recent advances in management of elbow fractures. Attention is focused on distal humeral fractures, olecranon fractures, and radial head fractures. Use of total elbow arthroplasty as primary treatment for fractures is discussed, as is the debate between parallel and perpendicular plating techniques. The use of suture-tension band constructs and use of pre-contoured plates for treatment of olecranon fractures also are reviewed. Finally, the option of radial head resection for displaced radial head fractures is revisited in light of new long-term outcomes data, as well as the use of smooth-stemmed radial head implants.