| Objective: By analysis the data on the distal humerul fractures managed in our hospital in recent five years. To summarize the experience of treatment on the fractures which is uncommon and difficult to treat, to provide the treatment principle of approach and fixation on this fractures. Method: We retrospective reviewed 46 patients with intra-articulr fractures of the distal humerus in the past 5 years. The whole clinical data were obtained, including approach, operating time, blood losing, types of internal fixation, function of the elbow, and complains and so on. To collect the data and then to analyse. Result: Of the 46 patients, olecranon osteotomy 31 cases, triceps flap 15 cases, the osteosynthesis with simple K-wire 4 cases, thread K-wire 2 cases, "Y" plate 2 cases, single plate 8 cases, dual-plate (DP) 17 cases, with double tension band(DTB) 13 cases. We fellow up 37 cases, according to Morrey' s evaluation standard: excellent 28 case, good 6 cases, fair 3 cases, double tension band with less time and blooding in comparison with dual-plates,however, osteosynthesis with dual-plate or with double tension band can provide satisfied results. Conclusion: Olecranon osteotomy is a common and effective form of surgical exposure for treatment of the intra-articular fractures of distal humerus . The main method for this fractures is osteosynthesis with dual-plate (DP) or with double tension band(DTB), fixed with dual-plate (DP) is rigid as well as reliable, while double tension band(DTB) characterized with easy to operate, and is a good way to manage the intra-articular fractures of distal humerus.
|
PDF Full Text Request