Dual anatomical steel plate for the surgical management of intercondylar fracture of humerus through approach of osteotomy of olecranon
- VernacularTitle:经尺骨鹰嘴截骨入路双钢板治疗肱骨髁间骨折
- Author:
Yuping LAN
;
Fenglin ZHONG
;
Bing XU
- Publication Type:Journal Article
- Keywords:
intercondylar fractures of humerus;
internal fixation;
effect
- From:
Orthopedic Journal of China
2006;0(24):-
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the surgical management and its results of intercondylar fracture of humerus through approach of osteotomy of olecranon(AOO) with dual anatomical steel plate DASP.[Method]From July 2002 to March 2006,26 patients of intercondylar fracture of humerus were treated surgically through AOO,and the fracture was reduced and fixed with DASP.The patients were 19 males and 7 females with a mean age of 35 years (range 15～46 years),According to Riseborough and Radin classification,type Ⅱ fracture was found in 6 cases,type Ⅲ in 18,type Ⅳ in 2.Early rehabilitation exercises was taken.[Result]Twenty-five fractures were satisfactory reduced but one not too good,none had incision infection,injuries of the ulnar nerve.Twenty-two patients were followed up from 6 months to 19 months(average 13.5 months),of these 22 patients,all the osteotomies healed in 17 weeks averagely(range 14～24 weeks) and the injuried ulnar nerve recovered completely.The function of the elbow(according to Cassbaum scale) showed excellent in 5 cases,good in 13,fair in 3 and poor in 1.the good-excellent rate was 81.8%.[Conclusion]The technique of DASP for the treatment intercondylar fracture of humerus through transolecranon approach offers many advantages,such as sufficient exposure easy to get anatomical reduction,stable fixation and earlier exercise.
