Treatment of severely comminuted fractures of humeral intercondylar through approach of osteotomy olecranon with double-plate internal fixation / 中国骨伤

ABSTRACT

<p><b>OBJECTIVE</b>To explore surgical management and the effects of surgical treatment of severely comminuted fractures of humeral intercondylar through approach of osteotomy olecranon with double-plate internal fixation.</p><p><b>METHODS</b>Thirty patients of severely comminuted fractures of humeral intercondylar were treated by double-plate internal fixation through osteotomy olecranon. There were 19 males and 11 females, with an average age of 42.3 years ranging from 21 to 62. According to AO/ASIF classification, there were 17 cases of type C2 and 13 of C3. Twenty-one cases were applied with reconstructive plate medially and laterally, 9 cases were applied with reconstructive plate laterally and 1/3 tubular plate medially.</p><p><b>RESULTS</b>All patients were followed-up for 6 months to 3 years (means 1.5 years). The complications such as bone defect, ossifying myositis, tardive ulnar nerve compression, internal fixation fail were no occurenced. According to Aitken-Rorabeck scale the function of the elbow showed excellent in 16 cases, good in 10, fair in 2 and poor in 2.</p><p><b>CONCLUSION</b>Anatomical reduction surgically reconstructed stabilization of the elbow and early active rehabilitation are crucial factors of functional rehabilitation of the elbow. The technique of osteotomy olecranon with double-plate internal fixation for treatment of severely comminuted fractures of humeral intercondylar is a good approach.</p>