Tsutsui Sadaaki, Okano Ichiro, Kuroda Takuma, Kawasaki Keikichi, Inagaki Katsunori
Department of Orthopaedic Surgery, Showa University School of Medicine, Tokyo, Japan.
Department of Orthopaedic Surgery, Showa University Northern Yokohama Hospital, Kanagawa, Japan.
JSES Rev Rep Tech. 2023 Jun 24;3(4):583-591. doi: 10.1016/j.xrrt.2023.05.009. eCollection 2023 Nov.
Distal humeral fractures are among the most challenging injuries to treat. Although precise repair of the articular surface is essential during surgery, accurate reconstruction of the metaphysis contributes to the overall stability of the fracture construct. The intraosseous wiring technique has been used for small-fragment fractures. However, its efficacy as an adjunct for distal humerus fixation has yet to be thoroughly investigated. This study aimed to demonstrate the applicability of this technique to comminuted, distal humeral fractures. In this retrospective case series, we describe 6 cases of intra-articular distal humerus fractures treated with this technique, followed by dual plating. We observed successful bone union in all patients, with the Mayo Elbow Performance Scores indicating "good" to "excellent" clinical outcomes for this procedure at the final follow-up. We believe that this intraosseous wiring technique should be an integral part of the toolbox of every surgeon because it is a relatively simple and highly effective procedure that requires no special instrument and can be used on various types of fractures.
肱骨远端骨折是最难治疗的损伤之一。尽管手术中关节面的精确修复至关重要，但干骺端的准确重建有助于骨折结构的整体稳定性。骨内钢丝技术已用于治疗小碎片骨折。然而，其作为肱骨远端固定辅助手段的疗效尚未得到充分研究。本研究旨在证明该技术在粉碎性肱骨远端骨折中的适用性。在这个回顾性病例系列中，我们描述了6例采用该技术治疗的关节内肱骨远端骨折，随后进行双钢板固定。我们观察到所有患者均成功实现骨愈合，梅奥肘关节功能评分显示在最终随访时该手术的临床结果为“良好”至“优秀”。我们认为，这种骨内钢丝技术应成为每位外科医生工具库中不可或缺的一部分，因为它是一种相对简单且高效的手术，无需特殊器械，可用于各种类型的骨折。
