The Second Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010000, China.
Inner Mongolia Medical University, Hohhot, 010059, China.
J Med Case Rep. 2024 Aug 10;18(1):363. doi: 10.1186/s13256-024-04700-2.
Due to its unique anatomical characteristics, supracondylar fractures of the humerus are often difficult to achieve firm fixation with internal fixation equipment, resulting in delayed functional exercise, often leaving cubitus varus deformity, elbow stiffness, contractures, and other complications. Here, we report an adult patient with a supracondylar fracture of the humerus who underwent internal fixation through an anterior median incision in the humerus with our self-developed anterior anatomical locking plate of the distal humerus.
A 29-year-old male patient of Chinese ethnicity with trauma-induced right supracondylar fracture of the humerus and multiple soft tissue contusions, without nerve damage, blood vessel damage, or other injuries, underwent an internal incision in our hospital using a new anatomical locking plate for the anterior distal humerus fixed treatment. During the 16-month follow-up period, the patient's elbow range of motion was almost completely restored, functional scores were excellent, and there were no minor or major postoperative complications.
In this study, we propose a surgical reconstruction strategy for adult patients with supracondylar humeral fractures. Through the anterior median incision of the humerus, open reduction and internal fixation were performed with an anatomic locking plate on the anterior side of the distal humerus to restore and fix the structure of the distal humerus, and satisfactory clinical results were achieved in our case.
由于其独特的解剖学特点，肱骨髁上骨折通常难以通过内固定设备实现牢固固定，导致功能锻炼延迟，常遗留肘内翻畸形、肘关节僵硬、挛缩等并发症。在此，我们报告 1 例成人肱骨髁上骨折患者，采用我们自行研发的肱骨远端前侧解剖锁定板经肱前正中入路进行内固定。
1 例 29 岁的中国男性患者因创伤导致右侧肱骨髁上骨折和多处软组织挫伤，无神经损伤、血管损伤或其他损伤，在我院行新的解剖锁定钢板治疗。术后 16 个月随访时，患者的肘部活动度几乎完全恢复，功能评分优秀，无轻微或严重的术后并发症。
本研究提出了一种成人肱骨髁上骨折的手术重建策略。通过肱前正中入路，采用肱骨远端前侧解剖锁定板进行切开复位内固定，恢复和固定肱骨远端结构，在我们的病例中取得了满意的临床效果。
