|
KMID : 0386419990120040981
|
|
Journal of the Korean Fracture Society
1999 Volume.12 No. 4 p.981 ~ p.987
|
|
|
Treatment of comminuted distal humeral intercondylar fracture using transolecranon approach
|
|
Lee Kwang-Hyun
Park Myung-Ryul
Lee Jae-Min
Kweon Tae-Hyoung
|
|
|
Abstract
|
|
|
|
Fracture of the distal humerus is rare, so the surgeons experience is limited. This injuriesrepresent a constellation of complex articular fractures and anatomic complexity of distalhumerus makes surgical treatment, open reduction and internal fixation is difficult. We analyzethe clinical result of immediate open reduction, rigid internal fixation, and early postoperativemotion. From Nov. 1990 to Sep. 1997, the authors analyzed the clinical results of 5 cases thosewho underwent operative treatment using transolecranon approach, internal fixation with Y plateand early motion for comminuted distal humeral intercondylar fracture. ROM exercise wasstarted at average 2.2 weeks postoperatively. 4 of 5 patients obtained satisfactory results byRiseborough and Radin rating criteria. One patient obtained poor result of 40 degree flexioncontracture and 90 degree further flexion of elbow. Transolecranon approach makes thecomplete anatomic reduction of articular surface possible and the satisfactory results isassociated with immediate, complete anatomic reduction and rigid fixation in conjuction withearly postoperative motion.
|
|
|
KEYWORD
|
|
|
Humerus, Intercondylar fracture, Transolecranon approach
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|