Ryuh Sup Kim; Tong Joo Lee; Kyoung Ho Moon; Seung Rim Park; Moon Lee

doi:10.12671/jkfs.2007.20.2.172

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Original Article
Operative Treatment of Displaced Intercondylar Fracture of the Distal Humerus with Reconstruction Plate: Ryuh Sup Kim, M.D., Tong Joo Lee, M.D., Kyoung Ho Moon, M.D., Seung Rim Park, M.D., Moon Lee, M.D.; Journal of the Korean Fracture Society 2007;20(2):172-177.
DOI: https://doi.org/10.12671/jkfs.2007.20.2.172
Published online: June 14, 2016

Department of Orthopedic Surgery, Inha University College of Medicine, Incheon, Korea.

Address reprint requests to: Tong Joo Lee, M.D. Department of Orthopedic Surgery, Inha University College of Medicine, 253, Yonghyeon-dong, Nam-gu, Incheon 402-751, Korea. Tel: 82-32-890-3664, Fax: 82-32-890-3099, TJLEE@inha.ac.kr

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the therapeutic effects of chevron olecranon osteotomy and bilateral reconstruction plate as operative treatment for distal humerus intercondylar fracture.
Materials and Methods
Among patients operated for distal humerus intercondylar fracture in our hospital from June, 1997 to October, 2005, 26 patients were selected who could be followed-up for more than one year. The average follow-up period was 15 months. All olecranon osteotomies were chevron osteotomy and all fractures were treated with internal fixation using bilateral reconstruction plate. The ulnar nerve was checked in all cases. Three patients in which case the plate might irritate the ulnar nerve, received with ulnar nerve anterior transposition. Cassebaum's classification and Mayo elbow performance score were used to evaluate at three, six and twelve months.
Results
Mean bone union period was 11.7 weeks. There were 9 excellent cases, 11 good cases, 4 fair cases and 2 poor cases. Mean flexion contracture was 11° and further flexion was 126° at last follow-up.
Conclusion
Bilateral reconstruction plate internal fixation using chevron olecranon osteotomy showed strong fixation and good clinical results and it is possible for early rehabilitation treatment.
Key words: Humerus, Intercondylar fracture, Reconstruction plate, Chevron olecranon osteotomy

REFERENCES

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Fig. 1

(A) Initial radiographs show AO/ASIF type C2 fracture of the distal humerus.

(B) Postoperative radiographs show bilateral reconstruction plate through chevron osteotomy of olecranon.

Fig. 2

(A) Initial radiographs show AO/ASIF type C2 fracture.

(B) At postoperative 12 weeks, radiographs show complete bony union.

Table 1

Cassebaum's classification for elbow range of motion

Table 2

Mayo elbow performance score

Classification: excellent>90, good: 75~89, fair: 60~74, poor<60.

Figure & Data

REFERENCES

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Operative Treatment of Displaced Intercondylar Fracture of the Distal Humerus with Reconstruction Plate

J Korean Fract Soc. 2007;20(2):172-177. Published online April 30, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.2.172

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Operative Treatment of Displaced Intercondylar Fracture of the Distal Humerus with Reconstruction Plate

Fig. 1 (A) Initial radiographs show AO/ASIF type C2 fracture of the distal humerus. (B) Postoperative radiographs show bilateral reconstruction plate through chevron osteotomy of olecranon. (C) At postoperative 1 year, the patient has excellent ROM of elbow from 0° to 150°

Fig. 2 (A) Initial radiographs show AO/ASIF type C2 fracture. (B) At postoperative 12 weeks, radiographs show complete bony union. (C) At postoperative 13 months, ROM of elbow was 0°~135°.

Fig. 1

Fig. 2

Operative Treatment of Displaced Intercondylar Fracture of the Distal Humerus with Reconstruction Plate

Table 1

Cassebaum's classification for elbow range of motion

Table 2

Mayo elbow performance score

Classification: excellent>90, good: 75~89, fair: 60~74, poor<60.

Table 1 Cassebaum's classification for elbow range of motion

Table 2 Mayo elbow performance score

Classification: excellent>90, good: 75~89, fair: 60~74, poor<60.