Humeral fracture surgery progress.docVIP

 PAGE \* MERGEFORMAT 20 Humeral fracture surgery progress [Keywords:] Fracture Condylar fracture of the distal humerus intra-articular fracture, more common in the elderly. Non-surgical treatment requires long-term braking, prone to elbow stiffness, nonunion, fracture instability and other complications, surgery is only applicable in the presence of contraindications and refused surgical treatment of patients. now tend to surgical treatment, anatomical reduction of articular surface by a strong fixation to facilitate early postoperative functional recovery and reduce complications such as joint stiffness. As the complexity of the anatomy of the elbow, near the major blood vessels and nerves, bone is relatively loose, mostly comminuted fracture, and less muscle cover, which are for the surgery more difficult. In this paper, fracture of humerus in recent years, the surgical treatment reviewed in the paper. An open reduction and internal fixation (ORIF) 1.1 The surgical approach Commonly used surgical approaches are mainly three kinds, namely triceps splitting approach, the triceps muscle flap tongue-based approach, the olecranon osteotomy approach, its advantages and disadvantages of each kind of approach reveals .3 articular surface is different. has the author found on the body, olecranon osteotomy to expose the articular surface of 57%, triceps muscle flap to tongue-based approach revealed 46%, while the triceps split technique Only 35% of the olecranon osteotomy and triceps split technique was statistically significant difference between the [1]. McKee [2] and so on 25 patients by olecranon osteotomy (11 cases) and triceps splitting approach (14 cases) surgery, that this approach did not differ between 2, compared with the uninjured side of the upper limb muscle strength decreased by 25%. triceps split technique for displaced intra-articular free condylar fractures or fractures [3]. triceps tongue approach muscular flap in front of the elbow jo