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Comminuted Intercondylar Fracture of the Distal Humerus in Adults
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Jin Rok Oh, Yeo Seung Yoon, Dong Kyu Lee, Man Seung Her
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J Korean Fract Soc 2006;19(2):208-214. Published online April 30, 2006
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DOI: https://doi.org/10.12671/jkfs.2006.19.2.208
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 Abstract
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To evaluate the therapeutic results of communited intercondylar fractures of the distal humerus that were treated by surgical treatment.
MATERIALS AND METHODS
From January, 1998 to December, 2004, we reviewed fifteen cases of intercondylar fracture of the distal humerus, which were treated by surgical treatment. The follow up period ranged from six month to 5 years. The functional results were evaluated using Broberg and Morrey's functional scale according to surgical approach, type of plate and location of plating.
RESULTS
The functional results were as follows; seven excellent, six good, one fair and one poor. The mean range of motion in elbow joint was 7~106 degrees. The mean functional score was 86.6 points through olecranon osteotomy, 90.5 points through Campbell's posterior approach. The mean functional score was 91.6 points in cases using 2 reconstruction plate, 78 points in cases using 1 reconstruction plate and 1/3 semitubular plate, and 86 points in case using 1 reconstruction plate and lag screws. The mean functional score was 88.9 points in cases by posterior and lateral fixation, 86 points in cases by both posterior fixation and 97 points in case by both lateral fixation.
CONCLUSION
There are no significant differences in treatment outcome according to surgical approach, different plate and location of plating.
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Citations
Citations to this article as recorded by  - Double Parallel Plates Fixation for Distal Humerus Fractures
Young Hak Roh, Moon Sang Chung, Goo Hyun Baek, Young Ho Lee, Hyuk-Jin Lee, Joon Oh Lee, Kyu-Won Oh, Hyun Sik Gong
Journal of the Korean Fracture Society.2010; 23(2): 194. CrossRef
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Refracture of the Femur after Plate Removal
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Sung Kwan Hwang, Jung Ho Rah, Hee Jeon Park, Yeo Seung Yoon, Jae Beom Han
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J Korean Soc Fract 1995;8(4):799-806. Published online October 31, 1995
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DOI: https://doi.org/10.12671/jksf.1995.8.4.799
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Abstract
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- Internal fixation with dynamic compression plate is an accepted method of treating diaphyseal fractures of the adult femur. Good results have been reported using the principles laid down by the AO group(Muller et al 1979). Refracture after secure union of a broken femur has been achieved is rare, but it is most devastating complication.
There were 5 refractures out of 64 removals after fractures of the femur at the department of Orthopaedic Surgery, Yonsei University Wonju college of Medicine between January, 1988 and June, 1994. After clinical and roentgenographical analysis, following results were obtained.
1. The causes of the refracture were trivial injuries or slip down injury.
2. Among 5 cases, the average time from insertion to removal was 19.2 months, with a ranged from 16 to 28 months.
3. The internal from removal of implant to refracture was 5.6 wks, with a range from 3 to 9 weeks.
4. The incidence of refracture in out hospital(7.8%) was somewhat higher than reported incidence by others.
5. The femur plates should not be removed prior to 2 years postoperatively and its removal should be postponed, if possible.
6. It is reasonable to postpone its removal until bone strength is adequate for full activity.
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Citations
Citations to this article as recorded by - Refractures of the Upper Extremity in Children
Hui Wan Park, Ick Hwan Yang, Sun Young Joo, Kun Bo Park, Hyun Woo Kim
Yonsei Medical Journal.2007; 48(2): 255. CrossRef
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