Yang J.-D.,Dayao Peoples Hospital |
Chen G.-R.,Dayao Peoples Hospital |
Zhang Y.-W.,Dayao Peoples Hospital
Chinese Journal of Tissue Engineering Research | Year: 2013
BACKGROUND: Humeral condylar fracture is a kind of trauma fracture that difficult to deal, and caused with direct or indirect violence. Internal fixation is the commonly used surgical treatment method. OBJECTIVE: To explore the mechanical characteristics of humeral condylar fracture after treated with different metal implants as well as the elbow function after treated with different methods. METHODS: Thirty-two child patients with supracondylar Gartland III fractures and treated with cross Kirschner wire fixation were selected from May 2005 to August 2010. All the patients were treated with osterior incision cross Kirschner wire fixation and antecubital "8" bandage wrapping fixation through elbow rear single incision approach. The downstream fracture was treated withanatomic reduction and cross Kirschner wire fixation. Antecubital "8" bandage wrapping fixation was performed after operation. RESULTS AND CONCLUSION: All the 32 patients were followed-up for 10-28 months, average, in 14 months, and the fracture was healed at 4-7 weeks. According to the Flynn assessment standards, excellent in 19 patients, good in 11 patients, average in 2 patients, and the excellent and good rate was 93.75%. The posterior approach of elbow fully revealed the fracture site, easy for anatomic reduction and easy for Kirschner wire to accurate drill into the fracture site and fixation. And the antecubital "8" bandage wrapping fixation after operation can help to obtain the better efficacy. Due to the mechanics characteristics of humeral condylar fracture, the metal implants treatment should be performed in accordance with the patient's actual condition, for example, the humeral condylar comminuted fracture should be treated with cross Kirschner wire fixation and the small condylar fracture should be treated with plate internal fixation.