The use of pre-contoured plates in the treatment of C2-C3 fractures of the distal humerus: clinical experience.

被引：18

作者：

Celli A. ^{[1
]}

Donini M.T. ^{[1
]}

Minervini C. ^{[1
]}

机构：

[1] Dipartimento di Ortopedia e Traumatologia, Policlinico di Modena, Via del Pozzo 71, Modena

来源：

La Chirurgia degli Organi di Movimento | 2008年 / 91卷 / 2期

关键词：

Pre-contour plate; Mayo elbow congruent plates; Elbow fracture; Anatomical reduction; Stable fixation; Early motion;

D O I：

10.1007/s12306-007-0022-3

中图分类号：

学科分类号：

摘要：

Open reduction and internal fixation is the treatment of choice in distal humerus fractures. The aims of the treatment are to obtain anatomic reconstruction and restoration of the elbow's geometry followed by stable internal fixation that allows immediate rehabilitation. The plates are pre-contoured to fit the natural anatomy of the elbow and in the case of complex fractures they provide a guide for the anatomic restoration of the distal humerus. The two plates are placed parallel with the screws locked together by interdigitation creating a fixed angle in the distal fragments that provides stability to the entire distal humerus. Using this method we obtained good results according to the Mayo Elbow Performance Score (MEPS) and we are able to reduce the incidence of complications. Our experience shows also that it can be useful to obtain an anatomical reduction of distal humeral fractures using the pre-contoured plates in a parallel position recovering the anatomical antiversion of the articular surface.

引用

页码：57 / 64

页数：7

共 48 条

[1]

Allende C.A.(2004)Intercondylar distal humerus fractures surgical treatment and results Chir Main 85 95-300

[2]

Allende B.T.(1961)Injuries of the elbow. A ten years review J Trauma 1 248-1264

[3]

Allende B.L.(2004)Bicondylar intraarticular fractures of the distal hunerus in adults Clin Orthop Relat Res 429 292-1148

[4]

Conn J.(1994)Complex fractures of the distal part of the humerus and associated complications J Bone Joint Surg Am 76 1252-101

[5]

Wade P.A.(2004)Surgical treatment of acute displaced fractures of adult distal humerus with reconstruction plate Injury 35 1143-113

[6]

Helfet D.(1991)Total elbow arthoplasty for post-traumatic arthritis J Bone Joint Surg Br 73 607-833

[7]

Schmeling G.J.(2000)The triceps-reflecting anconeus pedicle (TRAP) approach for distal humeral fractures and nonunions Orthop Clin North Am 31 91-6

[8]

Jupiter J.B.(2000)Fractures of the distal humerus Orthop Clin North Am 31 103-B30

[9]

Le Huang T.(1992)Fractures of the distal humerus Orthopaedic 15 825-239

[10]

Yao Chiu F.(1973)Fracture of the distal humerus Z Unfallmed Berufskr 66 5-300

← 1 2 3 4 5 →