Evaluation Of Comminuted Olecranon Osteotomy Fixed Two-pillar Treatment Young Humeral Fractures

Object To introduce treatment of distal humerus comminuted fractures by the double column olecranon osteotomy fixation in the youth and summarize its therapeutic effects.Methods 35 cases with distal comminuted humeral fracture in the youth were treated with internal fixation using two plates through a trans olecranon osteotomy approach.After reposition fragments were fixed by pulling nails,and block osteotomy were fixed by U steel wire.Result According to AO/ASIF classification,type C2 in 13 and C3 in 22 cases were followed up for 30 months on average,and all fracture healed in 3.9months averagely.Of these 35 cases, all the osteotomies healed in 8 weeks averagely.The elbow joint function according to mayo elbow function rating system was evaluated,and the results showed excellent in 10,good in 19, fair in 4 and the excellence rate was 82.5%.Conclusion Internal fixation with the double column plate through approach of extra-articular oblique osteotomy of olecranon in patients with intercondylar distal humeral fracture(C2 and C3) has many advantages,it provides satisfactory stability with simple technical procedure and solid fixation,and it facilitates rehabilitation exercises and provides good results with low complication rate.