Efficacy study on dual-plate for treatment of comminuted distal humerus fractures in adult

VernacularTitle:双钢板治疗成人肱骨远端粉碎性骨折的疗效研究
Author: Jun ZHU ; Aiyong HE ; Cheng TAO
Publication Type:Journal Article
Keywords: dual-plate; elbow joint; humeral supracondylar fractures; internal fixation
From: Journal of Regional Anatomy and Operative Surgery 2015;(1):29-32
CountryChina
Language:Chinese
Abstract: Objective To evaluate the clinical effect of dual-plate for treatment of comminuted distal humerus fractures in adult. Meth-ods 28 patients with distal humeral fractures were treated with condylar anatomical plate interal fixation. The supracondylar fracture was fixed with condylar anatomical plating, and the two plates were kept in 90°with each other. Results The 28 cases were followed up average-ly 26 months (12 to 34 months). All fractures healed and there was no delayed union or nonunion cases. According to Cassebaum scoring system, there were 9 cases of excellent,14 cases of good, 4 cases of moderate and 1 case of bad. According to Morrey-Chao scoring system, there were 16 cases of cases,11 cases of good. The average time of bone healing was 10 weeks. Conclusion In treatment of comminuted distal humerus fractures in adult, open reduction and dual-plate internal fixation can get good clinical results. The placement of the dual-plate may depend on surgeon experience and preference and the fracture pattern present.