Humeral condylar fractures.docVIP

 PAGE \* MERGEFORMAT 12 Humeral condylar fractures Authors: Yang Xiaofei, HAN Shi Zhang, Li Wei, Chang-xiao 【Key Words】 Fracture Surgical treatment of intercondylar fractures of the humerus Abstract: [Objective] Summary surgical treatment of humeral condylar fractures. [Methods] Surgical treatment of 32 cases in recent years follow-up data complete analysis of humeral condylar fractures. The average follow-up of 15 months. Assessed according to the modified scoring system Gassebaum curative effect of the elbow joint: excellent in 18 cases, good in 6 cases, in 6 cases and poor in 2 cases. Excellent and good rate was 75%. [Conclusion] The crush fracture and displacement affecting the degree of humeral condylar fractures an important prognostic factor. Surgical treatment should be as early as possible, and the use of olecranon osteotomy, intraoperative anatomic reduction, firmly fixed early postoperative functional exercise is the key to improve the curative effect. Keywords: Humerus; condylar fracture; surgical treatment Humeral condylar fractures in adults with severe multiple trauma of the elbow, because of its intra-articular fracture and the specific anatomy, such as improper handling can cause obstacles to the elbow joint activities. Hospital from 1998 to 2003 among 32 cases of humeral condylar fracture fixation surgery in patients with treatment results were satisfactory. A clinical data The group of 32 cases, male 21, female 11 cases; aged 23 to 52 years, mean 38 years. Injuries reasons: 19 cases of traffic accident injuries, fall injuries and falls injury in 13 cases. Closed injury in 28 cases, 4 cases of open fractures (Gustilo Ⅰ type 2 cases, Ⅱ type 2 cases). According to AO / ASTF Category C1 type in 10 cases, C2-type 15 cases, C3-type in 7 cases; combined injury: four cases of forearm fractures, shoulder dislocation in 2 cases, median nerve injury in 3 cases, 2 cases of ulnar nerve injury, brachial arte