Surgical treatment of intercondylar fracture of humerus
- VernacularTitle:肱骨髁间骨折的手术治疗
- Author:
Lei HUANG
;
Bo ZHANG
;
Manyi WANG
- Publication Type:Journal Article
- Keywords:
Humeral fractures;
Fracture fixation, internal;
Surgical procedures, operative
- From:
Chinese Journal of Orthopaedics
2001;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the results of patients with intercondylar fracture treated with open reduction and internal fixation. Methods Forty- one patients with complete clinical data treated operatively during 1989- 1998 were followed up for an average of 40 months. They were evaluated with modified Cassebaum rating system. The relationship between final result and the period from injury to operation, fracture pattern, operative approach, the time of initiation of exercise after operation were analyzed respectively. Results One nonunion occurred. 13 rated as excellent, 15 as good, 10 as fair,and 3 as poor. Conclusion The degree of comminution and displacement of fracture hinders the final result. Early operation, with osteotomy of the olecranon, anatomical reduction, rigid fixation and early exercise are the key factors that can improve the final result.