Double steel plate and Y-type steel plate for intercondylar humeral fractures: the selection of surgical approach

doi:10.3969/j.issn.2095-4344.2014.40.016

Abstract

Abstract:

BACKGROUND: With the development of AO, the treatment of intercondylar humeral fractures with open reduction has been a trend. However, the methods of fixation become many. There is no conclusion of which method is optimal.

OBJECTIVE: To investigate the clinical effect of two kinds of different fixation methods (Y-type steel plate and double steel plate) for intercondylar humeral fractures via different surgical approaches.

METHODS: A retrospective analysis of clinical data of 86 cases of fresh intercondylar humeral fractures in the Department of Orthopedics, Sixth Affiliated Hospital, Xinjiang Medical University, between December 2003 and May 2014 were conducted in this study. According to the different fixation materials, patients were divided into two groups: double steel group (n= 44, including the surgical approach of ulna olecranon osteotomy which had 22 cases and the surgical approach of triceps V shaped severance which had 22 cases), Y-type steel group (n=42, including the surgical approach of ulna olecranon osteotomy which had 21 cases and the surgical approach of triceps V shaped severance which had 21 cases). The clinical curative effect and related complications of the two groups after operation were analyzed. During follow-up, modified Cassebaum elbow scoring system was used to evaluate the excellent and good rate of therapy.

RESULTS AND CONCLUSION: After followed up for 12-36 months, the total excellent and good rate of Y-type steel plate was 76% and the total excellent and good rate of double steel plate was 77%. There were no significant differences between the two groups (P > 0.05). But interestingly, the surgical approach of ulna

olecranon osteotomy was better than the surgical approach of triceps V shaped severance and the difference was statistically significant (P < 0.05). Above data suggested that Y-type steel plate and double steel plate were effective ways in the repair of intercondylar humeral fractures. However, for different surgical approaches, the surgical approach of ulna olecranon osteotomy was better than the surgical approach of triceps V shaped severance.

中国组织工程研究杂志出版内容重点：人工关节；骨植入物；脊柱；骨折；内固定；数字化骨科；组织工程

全文链接：

Key words: humeral fractures, internal fixators, elbow joint, follow-up studies

CLC Number:

R318

Liu Xiu-xin, Wang Chong, Ren Zheng. Double steel plate and Y-type steel plate for intercondylar humeral fractures: the selection of surgical approach[J]. Chinese Journal of Tissue Engineering Research, 2014, 18(40): 6488-6494.

Figures/Tables 4

References

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