Surgical Treatment of Intercondylar Fractures of the Humerus with Poste-rior Plates
후방 금속판을 이용한 상완골 과간 골절의 치료
조, 재호; 김, 준용; 이, 유상; 한, 경진
Journal of the Korean Society for Surgery of the Hand, 13(3):212-216, 2008
Journal of the Korean Society for Surgery of the Hand; 대한수부외과학회지
Purpose: The authors represent the results of surgical treatment of intercondylar fractures of the humerus treated with dual posterior plates.
Materials and Methods: Retrospectively, 33 patients with intercondylar fractures of the humerus treated with
posterior plates from 2000 to 2004 were reviewed. According to AO/ASIF classification, there were 7 cases
of C1, 21 cases of C2, and 5 cases of C3. The average union time was 17.2 weeks (12??22 weeks). Average follow- up was 18.6 months (12??28 months).
Results: According to Orthopaedic Trauma Association grading scale, the functional results were rated as excellent in 20 patients, fair in 10 patients and poor in 3 patients. There were 6 cases of complication, 4 cases of
elbow stiffness and 2 cases of ulnar neuropathy. There were no case of infection and heterotophic ossification.
Conclusion: As is the other pattern of fracture, to achieve good functional status after intercondylar fractures of the humerus, anatomical reduction, rigid fixation, and early rehabilitation is important. Treatment of
these fractures by dual posterior plates has various advantages of good stability, less soft tissue dissection, and less injury of ulnar nerve compared to other methods. Posterior placement of dual plates is a good way of achieving fixation with less complications of ulnar neuropathy.
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