Clinical outcomes of open reduction and internal fixation in treating Gustilo typeI and II patients with open distal humeral fractures.
10.3969/j.issn.1003-0034.2019.04.011
- Author:
Chen CHEN
1
;
Ye-Jun ZHA
1
;
Ting LI
1
;
Xie-Yuan JIANG
2
,
3
;
Liang-Peng LAI
1
;
Mao-Qi GONG
1
Author Information
1. Department of Traumatic Orthopaedics, Beijing Jishuitan Hospital, Beijing 100035, China.
2. Department of Traumatic Orthopaedics, Beijing Jishuitan Hospital, Beijing 100035, China
3. jxy0845@sina.com.
- Publication Type:Journal Article
- Keywords:
Fracture fixation, internal;
Humeral fractures;
Open fracture reduction
- MeSH:
Adolescent;
Adult;
Aged;
Bone Plates;
Elbow Joint;
Female;
Fracture Fixation, Internal;
Humans;
Humeral Fractures;
surgery;
Male;
Middle Aged;
Range of Motion, Articular;
Treatment Outcome;
Young Adult
- From:
China Journal of Orthopaedics and Traumatology
2019;32(4):350-354
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To analysis clinical effects of open reduction and internal fixation in treating Gustilo type I and II patients with open distal humeral fracture.
METHODS:From 2013 May to 2017 June, 24 patient with Gustilo grade I and II open distal humeral fractures were treated with open reduction and internal fixation, including 20 males and 4 females, aged from 14 to 65 years old with an average of (41.3±13.1) years old. According to Gustilo classification, 16 patients were type I, 8 patients were typeII. Range of motion, complications and secondary surgery were recorded; elbow function were evaluated with VAS (visual analogue scale), MEPS (Mayo elbow performance score) and QuickDASH (quick disabilities of the arm, shoulder, and hand) at 12 months after operation.
RESULTS:All patients were followed up from 15 to 60 years with an average of (34.1±11.9) months. VAS score was 0(0, 2); flexion and extension ranged from 50 °to 145° with an average of (115.2±26.1)°; the range of rotation ranged from 100° to 160° with an average of (147.7±17.0)°. MEPS score was for 75 to 90 (90.0±9.1), and 14 patients got excellent result, 10 patients moderate. Quick DASH score was 4.6(0, 14.8). There were 22 patients occurred complications, such as ulnar nerve symptom and internal fixation irritation, and 10 patients accepted the second operation.
CONCLUSIONS:Open reduction and internal fixation is a safe and efficient method in treating Gustilo type I and II patients with open distal humeral fractures, which has an advantages of good range of movement and function score.
