Clinical effect of elbow anterolateral approach with internal fixation in the treatment of capitellum fractures
10.3760/cma.j.issn.0254-9026.2013.11.013
- VernacularTitle:肘前外侧入路内固定治疗肱骨小头骨折的临床疗效
- Author:
Zheer PAN
;
Lichuang WU
;
Xiaojing HUANG
;
Lei CHEN
- Publication Type:Journal Article
- Keywords:
Humeral fractures;
Internal fixators
- From:
Chinese Journal of Geriatrics
2013;32(11):1180-1182
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical effect of elbow anterolateral approach with internal fixation in the treatment of capitellum fractures.Methods 12 patients with capitellum fractures were divided into types according to Bryan-Morrey classification:type Ⅰ (n=8),type Ⅱ (n=2),type Ⅳ (n=2).Patients were treated with anterolateral approach with AO cannulated screw fixation.Curative effect was evaluated according to Broberg-Morrey scale.Imaging evaluation was conducted.Results No lateral collateral ligament injury,blood vessels or nerve injury were found in patients.Primary healings were obtained after operation.All patients were followed up for 8 to 26 months postoperatively (averaged 16 months).All fractures were healed at 5 to 9 weeks after operation (averaged 7.2 weeks).Postoperative elbow flexion and extension was averaged (127.2±12.8) ° and forearm rotation was averaged (154.6 ± 15.3)°.Postoperative Broberg-Morrey score was averaged 90.5.The 8 cases were excellent,3 cases good and 1 case poor.Conclusions Operation should be applicated according to fracture classification in the treatment of capitellum fractures.Anterolateral approach is better to expose the fracture,which is convenient for operation,and AO cannulated screw fixation can fix the fractures firmly.Clinical effect is satisfactory when taking early functional exercise for elbow joint.
