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首页> 外文期刊>Journal of shoulder and elbow surgery >Low transcondylar fractures of the distal humerus: Results of open reduction and internal fixation
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Low transcondylar fractures of the distal humerus: Results of open reduction and internal fixation

机译：肱骨远端trans下骨折：切开复位内固定的结果

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Background: This study presents the outcomes of low transcondylar fractures of the distal humerus treated by open reduction and internal fixation. Methods: Between 1996 and 2010, 263 distal humeral fractures were managed at our institution. Patients with a true low transcondylar fracture treated by open reduction and internal fixation were included. Fourteen patients form the basis of this study. Fracture fixation was achieved through a triceps-sparing approach, a triceps tongue, or an olecranon osteotomy. Internal fixation was performed with parallel plates, orthogonal plates, a single lateral plate, or a single medial plate. The clinical outcome was measured with pain levels, range of motion, and the Mayo Elbow Performance Score. Radiographs at latest follow-up were assessed for union, delayed union, nonunion, and hardware failure. Results: At most recent follow-up, 11 patients had no pain, 2 had mild pain, and 1 had moderate pain. The mean Mayo Elbow Performance Score was 85. The mean arch of motion was 95°. Complications included nonunion, delayed union, wound complications, deep infection, and heterotopic ossification. Discussion: Stable internal fixation of low transcondylar fractures is perceived as difficult to achieve because of the very small size of the distal fragment. However, the results of our study indicate that internal fixation of low transcondylar fractures of the distal humerus is associated with a high union rate and satisfactory clinical results. Elbow arthroplasty does not need to be considered for most patients with a low transcondylar distal humeral fracture.
机译：背景：本研究介绍了开放复位和内固定治疗肱骨远端trans下低位骨折的结果。方法：1996年至2010年间，本院共治疗了263例肱骨远端骨折。包括经切开复位内固定治疗的真正的trans下低位骨折患者。十四名患者构成了这项研究的基础。通过保留肱三头肌的方法，肱三头肌的舌头或鹰嘴截骨术实现骨折固定。用平行板，正交板，单个外侧板或单个内侧板进行内部固定。临床结果通过疼痛程度，运动范围和Mayo肘关节成绩评分来衡量。对最近一次随访的X光片进行了联合检查，延迟联合检查，骨不连和硬件故障评估。结果：在最近的随访中，无疼痛11例，轻度疼痛2例，中度疼痛1例。 Mayo肘关节平均成绩为85。平均运动弓度为95°。并发症包括骨不连，延迟愈合，伤口并发症，深部感染和异位骨化。讨论：由于远端碎片非常小，因此难以实现稳定的低trans突骨折内固定。但是，我们的研究结果表明，肱骨远端低trans突骨折的内固定与高愈合率和令人满意的临床效果相关。对于大多数经trans下远端肱骨远端骨折的低位患者，无需考虑进行肘关节置换术。

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