A complicated course of a Coronal Shear Fracture of the dist
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Coronal shear fracture type IV of the distal part of the humerus is a very rare injury with articular complexity potentially leading to posttraumatic osteoarthritis. One option for surgical treatment of advanced unicompartmental radiocapitellar osteoarthritis is resurfacing radiocapitellar joint replacement. A 62-year-old female sustained a coronal shear fracture type IV of the distal part of the left humerus that was primarily treated with open reduction and internal fixation using headless compression screws. Three years postoperatively, there was a migration of one screw into a radiocapitellar joint that led to circular deep cartilage defect of the radial head. Four years after ORIF, a distinctive radiocapitellar osteoarthritis has evolved leading to a resurfacing radiocapitellar joint replacement using the Lateral Resurfacing ElbowTM (LRE) system.

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