Gupta R
Department of Orthopaedics, Postgraduate Institute of Medical Sciences, Rohtak, India.
Injury. 1996 Oct;27(8):569-72. doi: 10.1016/s0020-1383(96)00076-9.
Intercondylar fractures of the distal humerus in adults are difficult fractures to treat because of their rarity and associated significant comminution. The results of managing these fractures non-operatively are limited by failure to get anatomical reduction and early mobilization, which often results in painful stiff elbow and/or pseudarthrosis. Hence an operative management with anatomical reduction of the fragments becomes the treatment of choice for these fractures. The experience of managing 20 such fractures by open reduction and internal fixation with early mobilization is presented. Nineteen of these fractures attained acceptable results, 15 of which were graded as excellent in the final outcome. This study attempts to rationalize the operative management of these fractures regarding choice of surgical approach, choice of implants and timing of mobilization of elbow.
成人肱骨远端髁间骨折因其罕见性及相关的严重粉碎而成为难以治疗的骨折。非手术治疗这些骨折的结果受到无法实现解剖复位和早期活动的限制，这常常导致肘关节疼痛性僵硬和/或假关节形成。因此，对骨折碎片进行解剖复位的手术治疗成为这些骨折的首选治疗方法。本文介绍了通过切开复位内固定并早期活动来治疗20例此类骨折的经验。其中19例骨折取得了可接受的结果，其中15例最终结果评定为优秀。本研究试图就这些骨折的手术治疗在手术入路选择、植入物选择和肘关节活动时机方面进行合理化。
