Management of distal humerus fractures in adults

被引:34
作者
Kinik, H [1 ]
Atalar, H [1 ]
Mergen, E [1 ]
机构
[1] Ankara Univ, Ibni Sina Hosp, Dept Orthopaed Surg & Traumatol, TR-06100 Ankara, Turkey
关键词
Internal Fixation; Open Reduction; Ulnar Nerve; Heterotopic Ossification; Humeral Fracture;
D O I
10.1007/s004020050023
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
From January 1992 to May 1997, 46 distal humeral fractures were treated by open reduction and internal fixation. Among these, 30 were intra-articular, which were managed by the transolecranal approach, routine ulnar nerve transposition, 3.5-mm dual-plate fixation and early active mobilisation. We encountered 2% non-union, 2.2% fixation failure, 11.1% nerve complications, 28.2% overall heterotopic ossification and 11.1% poor range-of-motion rates.
引用
收藏
页码:467 / 469
页数:3
相关论文
共 10 条
[1]
OPEN REDUCTION OF T AND Y FRACTURES OF LOWER END OF HUMERUS [J].
CASSEBAUM, WH .
JOURNAL OF TRAUMA, 1969, 9 (11) :915-+
[2]
GABEL GT, 1987, CLIN ORTHOP RELAT R, V216, P99
[3]
HELFET DL, 1993, CLIN ORTHOP RELAT R, V292, P26
[4]
OPERATIVE TREATMENT OF DISTAL HUMERAL FRACTURES IN THE ELDERLY [J].
JOHN, H ;
ROSSO, R ;
NEFF, U ;
BODOKY, A ;
REGAZZONI, P ;
HARDER, F .
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 1994, 76B (05) :793-796
[5]
INTERCONDYLAR FRACTURES OF THE HUMERUS - AN OPERATIVE APPROACH [J].
JUPITER, JB ;
NEFF, U ;
HOLZACH, P ;
ALLGOWER, M .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1985, 67A (02) :226-239
[6]
Intraarticular distal humerus fractures - Factors affecting fractional outcome [J].
Kundel, K ;
Braun, W ;
Wieberneit, J ;
Ruter, A .
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH, 1996, (332) :200-208
[7]
LETSCH R, 1989, CLIN ORTHOP RELAT R, V241, P238
[8]
Schatzker J., 1987, RATIONALE OPERATIVE, P71
[9]
POSTOPERATIVE COMPLICATIONS OF DISTAL HUMERAL FRACTURES - 27/96 ADULTS FOLLOWED UP FOR 6 (2-10) YEARS [J].
SODERGARD, J ;
SANDELIN, J ;
BOSTMAN, O .
ACTA ORTHOPAEDICA SCANDINAVICA, 1992, 63 (01) :85-89
[10]
INTERCONDYLAR FRACTURES OF THE DISTAL HUMERUS - ROUTINE ANTERIOR SUBCUTANEOUS TRANSPOSITION OF THE ULNAR NERVE IN A POSTERIOR OPERATIVE APPROACH [J].
WANG, KC ;
SHIH, HN ;
HSU, KY ;
SHIH, CH .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 1994, 36 (06) :770-773