Clinical Outcome of Surgical Treatment of Distal Humerus Intercondylar Fractures Through the Transolecranon Approach Combined with Anterior Transposition of the Ulnar Nerve.
10.12671/jkfs.2004.17.2.70
- Author:
Kwang Hyun LEE
1
;
Seong Pil LEE
;
Kyu Tae HWANG
;
Joo Hak KIM
Author Information
1. Department of Orthopedic Surgery, Hanyang University Hospital, Seoul, Korea. leegh@hanyang.ac.kr
- Publication Type:Original Article
- Keywords:
Humerus;
Intercondylar fracture;
Transolecranon approach;
Anterior transposition of ulnar nerve
- MeSH:
Contracture;
Humans;
Humerus*;
Ulnar Nerve*;
Ulnar Neuropathies
- From:Journal of the Korean Fracture Society
2004;17(2):70-75
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To analyze the clinical outcomes of surgical treatment of distal humerus intercondylar fractures through the transolecranon approach combined with anterior transposition of the ulnar nerve. MATERIALS AND METHODS: Eight patients who had distal humerus intercondylar fractures were included in this study and underwent operative treatment through the transolecranon approach for sufficient operative field with anterior transposition of the ulnar nerve and fixed with reconstruction plate. RESULTS: The results were evaluated using Riseborough and Radin rating criteria. Seven cases of eight cases were achieved good results with flexion contracture less than 30 degrees and forward flexion more than 115 degrees. However, one case was acheived poor result with 40 degrees of flexion contractue and 70 degrees of forward flexion. There were no the compressive ulnar neuropathy. CONCLUSION: We found the transolecranon approach and anterior transposition of the ulnar nerve a viable option for surgical treatment of the distal humerus intercondylar fractures
