Treatment of fracture of elbow joint with internal fixation
- VernacularTitle:内固定法治疗肘关节骨折
- Author:
Chao PENG
- Publication Type:Journal Article
- From:
Chinese Journal of Orthopaedics
2001;21(2):97-98
- CountryChina
- Language:Chinese
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Abstract:
Objective To describe the methods of treatment of fresh and old fractures of the elbow joint with internal fixation.Methods Ten cases of fracture of the elbow with complete records were reviewed; 9 of them were male and 1 female; 6 of them were Han people and 4 Tibetans. The average age was 31 years. Four cases had open fractures and 6 had closed fractures. Among the cases of open fractures, 3 were treated with routine debridement and internal fixation of the fragments or internal fixation plus advanced skin flaps. One was treated as closed fractures after wound healing. The 6 cases of closed fractures were treated with a single tension band wiring, tension band and screw fixation, or screw fixation. Results The mean duration of the follow up was 8 months. Fracture healing was seen at 3－ 4 months. The range of motion of fresh fractures of the elbow and forearm was 4.2° － 144.2° . The old fracture cases had the range of motion of 31.3° － 115° without restriction in pronation and supination. Conclusion The intra articular fracture of elbow joint must be treated with early surgery to attain anatomical reduction with firm internal fixation. Early functional exercise is also important for the recovery.
