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Case Reports in Medicine
Volume 2009, Article ID 631306, 4 pages
Case Report

Intra-Articular Osteotomy for Distal Humerus Malunion

1Department of Orthopaedic Surgery, Orthotrauma Research Center Amsterdam, Academic Medical Center Amsterdam, University of Amsterdam, Room L107, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands
2Orthopaedic Residency Program, Orthotrauma Research Center Amsterdam, University of Amsterdam, G4-Noord, Kamer 249, Meibergdreef 9, 1100 DD Amsterdam, The Netherlands

Received 17 July 2009; Accepted 8 September 2009

Academic Editor: Jonathan P. Garino

Copyright © 2009 René K. Marti and Job Doornberg. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Intra-articular osteotomy is considered in the rare case of malunion after a fracture of the distal humerus to restore humeral alignment and gain a functional arc of elbow motion. Traumatic and iatrogenic disruption of the limited blood flow to the distal end of the humerus resulting in avascular necrosis of capitellum or trochlea is a major pitfall of the this technically challenging procedure. Two cases are presented which illustrate the potential problems of intra-articular osteotomy for malunion of the distal humerus.