Influential factors for AO plastic double plate fixation in repair of senile distal humeral fractures
10.3969/j.issn.2095-4344.2015.31.018
- VernacularTitle:AO可塑形双钢板置入内固定修复老年肱骨远端骨折：效果的影响因素分析
- Author:
Mingguang CHEN
- Publication Type:Journal Article
- Keywords:
Humeral Fractures;
Internal Fixators;
Questionnaires;
Factor Analysis,Statistical
- From:
Chinese Journal of Tissue Engineering Research
2015;(31):5016-5020
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:Clinical treatment for elderly patients with distal humeral fractures includes conservative treatment, abduction, and open reduction and internal fixation. The methods for open reduction and internal fixation are various, and the effects are not unified, which brings great difficulties for clinical treatment. OBJECTIVE:To explore therapeutic effects and influential factors for open reduction and AO plastic double plate fixation for treating senile distal humeral fracture so as to provide the best treatment mode. METHODS:114 patients with senile distal humeral fracture, who received open reduction and internal fixation in the Affiliated Hospital of Shaanxi University of Chinese Medicine from June 2009 to June 2013, were enroled in this study. AO plastic double plate fixation was used. Self-designed questionnaire was utilized to investigate elbow recovery effect and influential factors. The possible influential factors were analyzed by chi square test and multiple Logistic regression analysis. RESULTS AND CONCLUSION: Among 114 patients, elbow joint function recovery was excelent in 85 cases and the excelent and good rate was 75%. Single factor analysis showed that significant differences were detected in different fracture types, AO type, with or without nerve injury, vascular injury and complications (P < 0.05). Multivariate Logistic regression analysis showed that fracture type, AO type and nerve injury were the main factors that influence the treatment effect (P < 0.05). That was, elbow joint function recovery was worse because of open type fracture, C type fracture, fracture combined with nerve injury. Above results confirmed that fracture type, AO type and nerve injury are the main factors influencing the effect of open reduction and internal fixation with AO plastic double plate for treating elderly patients with distal humeral fracture, and intervention should be done according to its influential factors.
