Treatment in Distal Humerus Fracture with Anatomical Y Plate
Journal of the Korean Fracture Society
; : 76-82, 2004.
Article
de Ko
| WPRIM
| ID: wpr-36983
Bibliothèque responsable:
WPRO
ABSTRACT
PURPOSE: To evaluate the clinical results of this modified anatomical Y-plate in treatment of distal humerus fracture and factors that affect the results. MATERIALS AND METHODS: From April 1991 to January 2002, 40 cases (16 male, 24 female) of distal humeral fractures were treated using a modified anatomical Y plate. The patient's age, gender, pain, range of motion, instability, function, bone union, and complication were recorded. RESULTS: At the operation, the mean age of patients is 49.5 years (12~74 years) and mean follow up period is 18 months (13~82 months). In the range of motion, mean flexion is 122.1 degrees (75~140 degrees) and mean flexion contracture is 11.4 degrees (0~30 degrees). Results by Morrey's functional evaluation include 15 excellent, 23 good and 2 fair cases. There are 2 excellent and 5 good cases in patients of supracondylar fracture which didn't involve the articular surface (A2, A3 type of AO classification), and 13 excellent, 18 good and 2 fair cases in patients of intracondylar fracture which involve the articular surface (B2, C1, C2, C3 type). But there is no statistical significance in results between two groups. There are 3 excellent, 3 good cases in 6 open fracture and 2 excellent, 6 good and 1 fair case in 9 patients with multiple trauma. The patient's age, gender, open fracture, multiple trauma, and intraarticular fracture did not affect the results. CONCLUSION: Satisfactory results can be obtained if the modified anatomical Y-plate is used to treat a distal humerus fracture, regardless of many factors affecting the results.
Mots clés
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Polytraumatisme
/
Études de suivi
/
Amplitude articulaire
/
Contracture
/
Fractures articulaires
/
Fractures ouvertes
/
Fractures de l'humérus
/
Humérus
Type d'étude:
Observational_studies
/
Prognostic_studies
Limites du sujet:
Humans
/
Male
langue:
Ko
Texte intégral:
Journal of the Korean Fracture Society
Année:
2004
Type:
Article