双张力带法治疗肱骨远端关节内粉碎性骨折（Treatment of comminuted fracture of distal humerus with double tension band method）.docVIP

双张力带法治疗肱骨远端关节内粉碎性骨折（Treatment of comminuted fracture of distal humerus with double tension band method） Double tension band treatment of intra-articular distal humeral comminuted fracture Update: 2010-08-04 Zhao Jie Wang Xinwei Ye Xiaojian Zhang Qiulin Intra articular distal humerus fractures, especially for comminuted fracture, how to choose the best treatment method, has long been controversial. Patients with osteoporosis treatment more difficult. The result of conservative treatment often leads to loss of elbow joint function of patients with permanent disability or even 1, 2. The plate fixation, the operation is difficult, treatment failure caused by fixed equipment also have been reported, 3, 4. Since 1990, we treated 24 cases of comminuted distal humeral fracture patients, using Kirschner wire + double tension band fixation, satisfactory effect. clinical data There were 24 cases, according to the AO/ASIF classification 5, were type C fractures, see figure. Among them 15 cases were female, 9 were male, mean age 46 years. Figure AO/ASIF: according to the classification of 6 cases of type C1, type C2 10 cases, 8 cases of type C3 Operation method: all the patients in 4 hours after injury to 3 weeks (average 24 hours) in operation. 18 patients with brachial plexus anesthesia, 6 patients with general anesthesia. Show: supine position and limb placed in the table. Campbell elbow posterior median longitudinal incision of 8, extending to the humeral shaft along the olecranon, ca. 15cm. Expose the ulnar nerve and be free, protection. All patients were treated by olecranon osteotomy and the direct exposure of the distal end of humerus, so that accurate anatomical reduction. Olecranon osteotomy with transverse osteotomy. Restoration of the anatomic humeral intercondylar fracture: cleaning, reduction of condylar fractures, from outside to inside through the cross of 2 2mm Kirschner wire, anatomical reduction and fixation of intercondylar fracture of the main block. A small