Helfet D L, Schmeling G J
Department of Orthopaedics, University of South Florida.
Clin Orthop Relat Res. 1993 Jul(292):26-36.
Bicondylar intraarticular fractures of the distal humerus, because of their rarity and often associated significant displacement, comminution, and osteopenia, present the orthopedist with a difficult injury to reliably treat successfully. As with any displaced intraarticular fracture, the principles of anatomic restoration of the articular surface, stable fixation, and early motion are the optimal treatment goals. To obtain reproducible results, an established treatment protocol is required and is described in detail here. The average excellent-to-good results with surgical treatment for Type C fractures ("T" or "Y" bicondylar fractures) is 75% (range, 65-100%). Complications include heterotopic ossification (4%), infection (4%), ulnar nerve palsy (7%), failure of fixation (5%), and non-union (2%).
肱骨远端双髁关节内骨折因其罕见性，且常伴有明显移位、粉碎及骨质减少，给骨科医生带来了难以可靠成功治疗的难题。与任何移位的关节内骨折一样，关节面解剖复位、稳定固定及早期活动的原则是最佳治疗目标。为获得可重复的结果，需要一个既定的治疗方案，在此详细描述。C型骨折（“T”或“Y”型双髁骨折）手术治疗的平均优良率为75%（范围为65%-100%）。并发症包括异位骨化（4%）、感染（4%）、尺神经麻痹（7%）、固定失败（5%）和骨不连（2%）。
