Surgical Treatment of Intercondylar Fractures of the Humerus with Posterior Plates

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Journal of the Korean Society for Surgery of the Hand 2008;13(3):212-216.
Published online September 1, 2008.

Jae Ho Cho, Joon Yong Kim, Yu Sang Lee, Kyeong-Jin Han

후방 금속판을 이용한 상완골 과간 골절의 치료

조재호, 김준용, 이유상, 한경진

Abstract

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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