Compare Effects Of The Methods Used To Treat Complicate Intercondylar Fractures Of Humeru

Objective:To evaluate effects of the methods used to treat complicate intercondylar fractures of humeru, and to explore the indication, complication of the methods, which treat the complicate intercondylar fractures of humerus with Kirschner wire, Y shaped plate and double reconstruction plate.Method:From Oct 2001 to Oct 2007, we has treated 39 patients of complicate humeral intercondylar fractures . Age of the patients was ranged 15 to 87 years. All these cases were classified to type C fracture. Among all patients, 19 cases were treated with Kirschner wire,6 cases were treated with Y shaped plate and 10 cases were treated with double reconstruction plate, other 4 cases were treated with nonoperative way. The patients in operation group were followed up for 2 to 24 months, compare the bone healing , complication and clinic effect of different methods. Results: All the patients were followed up. The outcome were evaluated according to Aitken and Rorabeek rating system. The ratio of excellent and good was 78.9% in cases treated with Kirschner wire , 83.3% in cases treated with Y shaped plate and 80.0% in cases treated with double reconstruction plate. The ratio and bone healing of three groups had no significant deviation (p>0.05). Only 1 chronic infection happened in Y shaped plate group, which finally healed well after dislodge of the plate.Conclusion: Treat the complicate intercondylar fractures of humerus with Kirschner wire, Y shaped plate and double reconstruction plate had got good clinical effect. The medical biomechanics character of Y shaped plate and double reconstruction plate was much better for bone healing, but the operation with Kirschner wire was much simple, cheap, and the trauma the operation was less. So we should chose the internal fixation according to specific condition.