The internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture
10.3760/cma.j.issn.1008-6706.2012.10.020
- VernacularTitle:经尺骨鹰嘴截骨入路双钢板内固定治疗重度肱骨髁间粉粹性骨折
- Author:
Xiaolin YE
- Publication Type:Journal Article
- Keywords:
Severe humeral condyle splintered fracture;
Olecranon osteotomy;
Fracture fixation
- From:
Chinese Journal of Primary Medicine and Pharmacy
2012;19(10):1478-1479
- CountryChina
- Language:Chinese
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Abstract:
ObjectiveTo explore the effect and surgical management of the internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture.Methods50 patients with severe condyle humeral intercondylar splintered fractures were treated by double plate internal fixation through olecranon osteotomy.ResultsAll patients(50 cases) were followed up for 6 months to 2 years.The complications such as bone defect,ossifyingmyositis,tardive ulnar nerve compression,and internal fixation fail were not found.According to Aitken Rorabeck scale,the function of the elbow showed excellent in 35 cases,good in 9 cases,fair in 6 cases,the excellent and good rate was 88%.ConclusionThe internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture was a good approach.Anatomical reduction surgically reconstructed stabilization of the elbow and early active rehabilitation were crucial factors of functional rehabilitation of the elbow.