Congruent Plate Fixation for Intercondylar Fractures of the Humerus

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Journal of the Korean Society for Surgery of the Hand 2006;11(2):87-91.
Published online June 1, 2006.

Woo Sung Jung, Kwang Hyun Lee, Jae Hong Jung, Soon Myung Kim

원위 상완골 과간 골절에 대한 측면 일치 금속판 고정술

정우성, 이광현, 정재홍, 김순명

Abstract

Purpose
Typical guideline of intercondylar fracture of distal humerus is columnar stabilization with 2 plates at 90�angle to each other. Recently, new paradigm of operative treatment of intercondylar fracture that parallel fixation of 2 plates in the sagittal plane was introduced and the congruent plate which are fitted distal humeral contour was developed . We report clinical and radiological results of this congruent plate fixation in the intercondylar fracture. Materials and Methods: From January 2005 to October 2005, 7 cases of humerus intercondylar fractures were included in this study, 2 elbow congruent plates were used for the fixation of fracture after reduction. Results were evaluated by simple radiograph, rating criteria of Riseborough and Radin and Mayo Elbow Performance Score. We performed operation through transoleranon approach and internally fixated the fracture using 2 congruent plates. Postoperative ROM exercise was started at 2 to 3 weeks(average 2.4week) after operation. Results: In AO classification, there were 5 cases of C2 type and 2 cases of C3 type. Duration of follow up was 8 to 14 months (average 10.2 months). In their follow up simple radiograph, all fractures were united and all cases achieved good results with flexion contracture less than 30 degrees and further flexion more than 115 degrees except 1 case. Mean Mayo Elbow Performance Score was 95.7 points. Conclusion: The fixation of the intercondylar fractures of distal humerus is not easy but we used 2 congruent plates in parallel manner and gained relatively easy fixation of the fractures. The firm fixation enabled early elbow motion, therefore we could get good results. So the elbow congruent plate is thought to be the one of useful implant for fixation of intercondylar fracture of humerus

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