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  • Title: [Treatment of severely comminuted fractures of humeral intercondylar through approach of osteotomy olecranon with double-plate internal fixation].
    Author: Yang Y, Huang PQ, Fang JW.
    Journal: Zhongguo Gu Shang; 2009 May; 22(5):335-6. PubMed ID: 19522383.
    Abstract:
    OBJECTIVE: To explore surgical management and the effects of surgical treatment of severely comminuted fractures of humeral intercondylar through approach of osteotomy olecranon with double-plate internal fixation. METHODS: Thirty patients of severely comminuted fractures of humeral intercondylar were treated by double-plate internal fixation through osteotomy olecranon. There were 19 males and 11 females, with an average age of 42.3 years ranging from 21 to 62. According to AO/ASIF classification, there were 17 cases of type C2 and 13 of C3. Twenty-one cases were applied with reconstructive plate medially and laterally, 9 cases were applied with reconstructive plate laterally and 1/3 tubular plate medially. RESULTS: All patients were followed-up for 6 months to 3 years (means 1.5 years). The complications such as bone defect, ossifying myositis, tardive ulnar nerve compression, internal fixation fail were no occurenced. According to Aitken-Rorabeck scale the function of the elbow showed excellent in 16 cases, good in 10, fair in 2 and poor in 2. CONCLUSION: Anatomical reduction surgically reconstructed stabilization of the elbow and early active rehabilitation are crucial factors of functional rehabilitation of the elbow. The technique of osteotomy olecranon with double-plate internal fixation for treatment of severely comminuted fractures of humeral intercondylar is a good approach.
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