Clinical outcomes of operations in humeral intercondylar fractures
10.3760/cma.j.issn.1008-6315.2011.01.001
- VernacularTitle:手术治疗肱骨髁间骨折的疗效分析
- Author:
Yanhuang WANG
;
Dacheng HAN
;
Ming YANG
;
Yongqing YAN
;
Peixun ZHANG
;
Zhongguo FU
;
Hongbo ZHANG
;
Dianying ZHANG
- Publication Type:Journal Article
- Keywords:
Humeral fractures;
Internal fixation;
Elbow replacement
- From:
Clinical Medicine of China
2011;27(1):1-4
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficienty of operation in humeral intercondylar fractures by section, reposition, internal fixation by composition nail and replacement of elbow joint. Methods From January, 1999 to May, 2009, Forty-six cases of the humeral intercondylar fracture were treated with operation. Thirty-eight cases were followed for 17 months. Their affected elbow joint function were evaluated by Cassebaum rating system, patients treated with total elbow replacement evaluated by Mayo elbow score, DASH score additionally. Results According to Cassebaum rating system,there were 22 cases rated as excellent,eight cases rated as good,five cases rated as poor,three case rated as poor. The fineness rate is 78. 9% (30/38). Mayo score in patients with joint replacement ranged from 75.0 - 90. 0, averaged 84. 4 ± 1.7. DASH score ranged from 25.0 to 75.0,averaged 41. 1 ±0. 8. There was 1 case of superficial soft tissue nonhealing and 2 cases of ulna nerve symptoms. Myodynamia in elbow joint bend and stretch was Ⅳ in 1 cases. Conclusion It is a good method to treat the humeral intercondylar fracture with rational use of open reduction or elbow replacement according to fracture type and patient condition.
