Double-plate for treatment of distal humerus fractures of C.docVIP

 PAGE \* MERGEFORMAT 6 Double-plate for treatment of distal humerus fractures of C Of: Cheong Xiao, Zhang Zuojun, Du Guiqiang [Abstract] Retrospective analysis of 45 cases of double-plate fixation of fractures of the distal humerus C .45 cases of clinical bone union have reached an average of 3.1 months of bone healing. All patients were Cassebaum and integrated system HSS score, 29 patients with excellent results , good in 8 cases. [Keywords:] fractures, plate, internal fixation C-type fractures of the distal humerus is a complex articular fractures, non-surgical treatment of elbow function often leads to loss of varying degrees of complications such as .2000 January ~ April 2006, the use of double-plate fixation of type C distal humeral 45 cases of fractures and achieved good effect, are as follows. Clinical data 1 General Information The group of 45 patients, 29 males, 16 females, aged 21 to 52 years, mean 39.3 years old. Blunt trauma in 39 cases, 6 cases of open injury. Injury treatment time from 2 to 10 hours, an average of 4.3 hours. Cause of injury : 26 cases of road traffic injuries, falls injury in 8 cases, injured 11. by AO / ASIF classification, C1 18 cases, C2-type 15 cases, C3-type in 12 cases. There was no nerve damage before surgery. The group, all patients in the 3 to 10 days after injury, surgery, reconstruction plate fixation are used in 21 cases, lateral reconstruction plate used, the inside with 1 / 3 tubular plate 24. 2 surgical methods In brachial plexus anesthesia. Take a little elbow curved posterior midline incision, separation of subcutaneous tissue to protect the ulnar nerve, medial and lateral from the triceps and lateral from the brachioradialis muscle, triceps gap separating the periosteum from the distal humerus Under the peel humerus, medial ulnar nerve retractor to open the distal humerus medial septum, subperiosteal dissection, can reveal the fracture. careful examination on the part of the articular