Dual reconstruction plate combined humeral condylar fracture on the.docVIP

 PAGE \* MERGEFORMAT 5 Dual reconstruction plate combined humeral condylar fracture on the [Keywords:] Fracture Supracondylar fracture of humerus is combined serious elbow injury, caused more by direct violence to crush fracture of the main fracture is one of the more difficult to treat. In our hospital from March 2000 to March 2007, the use of double reconstruction plate combined with humeral condylar fractures in 54 patients achieved satisfactory results, are as follows. 1 Clinical data 1.1 General information on this group of 54 patients, 32 males and 22 females, aged from 15 to 72 years, mean 42 years. The left side in 23 cases, the right side in 31 cases. Traffic accident in 28 cases, 16 cases of fall injury, a fall of 10 cases, all of closed fractures. 1.2 surgical brachial plexus block, take the prone position, with median longitudinal incision of the posterior elbow, triceps cut directly exposed humeral supracondylar, the first reduction of humerus fractures, temporary fixation with Kirschner wire, and then Hollow cancellous bone screws, recovery blocks and the anatomy of humeral head, and then reset the fractures, use of two reconstruction plate, shaping, oblique or vertical fixed on the humeral condyle and two, closed incision, plaster functional exercise than 3 weeks later. 2 Results 54 patients were followed up for 6 to 24 months, an average of 12 months, bone union, with the modified scoring system Cassebaum [1] score, excellent in 30 cases, good in 14 cases, 6 cases and poor in 4 cases, good rate of 81.5 %. 3 Discussion Supracondylar fracture of humerus merger may occur when the sagittal, coronal plane, frontal plane displacement and accurately determine the fracture site, crushing degree and shifting is necessary, it can not be displayed when the X-fracture conditions, the row CT examination is necessary, surgery aims to restore joint surface is smooth, strong and fracture fixation, the joints of early activities. Su