Joong-Bae Seo; Jae-Sung Yoo

doi:10.12671/jkfs.2011.24.3.243

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Original Article
Operative Treatment of Distal Humeral Comminuted Fractures with Orthogonal Plating: Joong-Bae Seo, M.D., Jae-Sung Yoo, M.D.; Journal of the Korean Fracture Society 2011;24(3):243-248.
DOI: https://doi.org/10.12671/jkfs.2011.24.3.243
Published online: July 15, 2011

Department of Orthopedic Surgery, Dankook University College of Medicine, Cheonan, Korea.

Address reprint requests to: Joong-Bae Seo, M.D. Department of Orthopaedic Surgery, Dankook University College of Medicine, 119, Dandae-ro, Dongnam-gu, Cheonan 330-715, Korea. Tel: 82-41-550-3060, Fax: 82-41-556-3238, ssjb1990@dku.edu

• Received: January 10, 2011 • Revised: March 1, 2011 • Accepted: June 20, 2011

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Abstract
REFERENCES

Abstract

Purpose
To analyze the results of operative treatment for Comminuted Fracture of Distal Humerus with Transolecranon approach and Orthogonal plating.
Materials and Methods
The subjects were 22 patients with Comminuted fracture of humerus who were treated with Orthogonal plating. Patient's age, sex, type of fracture, surgical approach, method of fixation, time of operation, time of bony union, complication, range of motion were investigated, and Function of elbow was evaluated by functional evaluation of Riseborough and Radin, Mayo Elbow Performance Score (MEPS).
Results
Age, sex, injuried arm, operation time were not related to postoperative result. Type C2 fractures showed better results in function and range of motion (ROM) than type C3 fractures. Also early rehabilitation was important to functional recovery and ROM. The postoperative ROM was average 110. Good were 16 cases, fair were 6 cases in functional evaluation of Riseborough and Radin. Excellent were 13 cases, good were 8 cases, fair was 1 case in MEPS.
Conclusion
Operative treatment with Transolecranon approach and Orthogonal plating showed favorable result on its function. Intraarticular comminution and early rehabilitation were closely related to postoperative function of elbow.
Key words: Humerus, Distal humerus comminuted fracture, Orthogonal plating, Transolecranon approach

REFERENCES

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Fig. 1

(A) Anteroposterior and lateral radiographs of elbow in a 40-year-old man show intercondylar comminuted fracture of distal humerus (AO C3 type).

(B) Follow up anteroposterior and lateral radiographs 20weeks after operation show bony union without complication.

Table 1

Summary of cases

^*AO: AO classification, ^†OP day: period from injury to operation, ^‡ROM: Range of motion, ^§MEPS: Mayo elbow performance score.

Table 2

Comparison of clinical results between C2 fractures and C3 fractures

ROM: Range of motion, MEPS: Mayo elbow performance score.

Table 3

Comparison of clinical results according to period of postoperativetime needed for spontaneous first elbow joint exercise

ROM: Range of motion, MEPS: Mayo elbow performance score.

Figure & Data

REFERENCES

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Operative Treatment of Distal Humeral Comminuted Fractures with Orthogonal Plating

J Korean Fract Soc. 2011;24(3):243-248. Published online July 31, 2011

DOI: https://doi.org/10.12671/jkfs.2011.24.3.243

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Figure

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Operative Treatment of Distal Humeral Comminuted Fractures with Orthogonal Plating

Fig. 1 (A) Anteroposterior and lateral radiographs of elbow in a 40-year-old man show intercondylar comminuted fracture of distal humerus (AO C3 type). (B) Follow up anteroposterior and lateral radiographs 20weeks after operation show bony union without complication.

Fig. 1

Operative Treatment of Distal Humeral Comminuted Fractures with Orthogonal Plating

Table 1

Summary of cases

^*AO: AO classification, ^†OP day: period from injury to operation, ^‡ROM: Range of motion, ^§MEPS: Mayo elbow performance score.

Table 2

Comparison of clinical results between C2 fractures and C3 fractures

ROM: Range of motion, MEPS: Mayo elbow performance score.

Table 3

Comparison of clinical results according to period of postoperativetime needed for spontaneous first elbow joint exercise

ROM: Range of motion, MEPS: Mayo elbow performance score.

Table 1 Summary of cases

^*AO: AO classification, ^†OP day: period from injury to operation, ^‡ROM: Range of motion, ^§MEPS: Mayo elbow performance score.

Table 2 Comparison of clinical results between C2 fractures and C3 fractures

ROM: Range of motion, MEPS: Mayo elbow performance score.

Table 3 Comparison of clinical results according to period of postoperativetime needed for spontaneous first elbow joint exercise

ROM: Range of motion, MEPS: Mayo elbow performance score.