Archdeacon Michael T
Department of Orthopaedic Surgery, College of Medicine, University of Cincinatti, Ohio 45267-0212, USA.
J Orthop Trauma. 2003 May;17(5):368-73. doi: 10.1097/00005131-200305000-00008.
Complex fractures involving the intercondylar/supracondylar distal humerus with extension into the mid to proximal humeral shaft are difficult to manage through a single standard surgical approach. We present and review a technique that combines an olecranon osteotomy with a posterior triceps splitting approach to the humerus. This technique was used in two patients who presented with severe intercondylar fractures of the distal humerus and extension proximally to the midshaft of the humerus. The technique allowed extensive distal humerus exposure, including the supracondylar/intercondylar region, and excellent exposure of the humeral shaft proximally to the surgical neck.
涉及肱骨髁间/髁上远端且延伸至肱骨中近端骨干的复杂骨折，很难通过单一标准手术入路进行处理。我们介绍并回顾一种将鹰嘴截骨术与肱骨后三头肌劈开入路相结合的技术。该技术用于两名患有严重肱骨远端髁间骨折且近端延伸至肱骨干中部的患者。该技术可广泛暴露肱骨远端，包括髁上/髁间区域，并能很好地暴露肱骨近端至手术颈处的骨干。
