Double-column reconstruction humeral condylar fractures fixed.docVIP

 PAGE \* MERGEFORMAT 9 Double-column reconstruction humeral condylar fractures fixed [Abstract] [Objective] The retrospective analysis of double-column fixation of humeral condylar fracture reconstruction surgery results. [Method] 12 patients with humeral condylar fracture patients, the use of open reduction and plate fixation for treatment of double-column, Postoperative clinical and radiographic examination, review treatment. [Results] one by Mehne Matta type: Low T-9 cases, Y-6 cases, H in 21 cases, radiography examination after 1 year, 30 healing cases, accounting for 83%, nonunion in 2 cases, accounting for 17% of nonunion of olecranon fossa are, inside and outside the column have been healed and the articular surface morphology did not change in the elbow functional recovery according to the U.S. Hospital for Special Surgery, HSS elbow Review of standard features, excellent and good rate was 91.7%. [Conclusion] The Dual Column plate between humeral fracture, distal humerus articular surface can be almost completely restored, is a safe and effective internal fixation techniques. [Keywords:] fractures, condylar reconstruction, double-column fixation, comminuted intercondylar Abstract: [Objective] To summarize the surgical techniques and results of reconstruction of severely comminuted intercondylar fracture of humerus with two columns internal fixation. [Methods] Twelve patients suffered severely comminuted intercondylar fractures were treated with reconstruction of intercondyle with open reduction and internal two columns fixation, depending on the x ray films and clinical symptoms and findings of physical examination; the results were analyzed. [Results] According to mehne matte classification system, low T shaped in 3 cases, Y shaped in 2 cases and H shaped 7 cases, all patients were followed up more than 1 year, x ray films showed 10 cases were union and 2 cases were nonunion. Based on scale of HSS system of elbow joints. the rate of excellent