Bilateral plate fixation for type C distal humerus fractures: experience at a single institution |
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Authors: | Shao-hua Li Zhen-hua Li Zheng-dong Cai Yu-chang Zhu Yong-zhen Shi Jie Liou Kun Tao Jian-guang Wang |
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Institution: | (1) Department of Orthopaedics, Tenth People’s Hospital of Tong Ji University, Shanghai, 200072, China; |
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Abstract: | Type C fractures of the distal humerus are difficult to treat and typically require open anatomical reduction and internal
fixation. Here we describe our experience treating patients with type C distal humerus fractures using a trans-olecranon approach
with bilateral plate fixation. Fifty-six patients (30 males, 26 females; mean age 49.8 years) were treated over a period of
six years. Thirteen fractures were open and 43 closed; all were caused by falls or traffic accidents. All operations were
performed successfully with no intraoperative complications. Mean duration of follow-up was 30 months (range 6–70). Mean duration
of fracture healing was 2.8 months (range 2–4). Forty-seven out of 56 patients (84%) suffered no postoperative complications.
One patient exhibited symptoms of ulnar nerve injury following surgery (nine exhibited symptoms before and after surgery).
Two patients had mild cubitus varus deformities, four delayed olecranon osteotomy site healing, and two heterotopic ossifications.
In summary, complications were minimal and outcomes satisfactory in patients with type C distal humerus fractures who underwent
bilateral plate fixation via a trans-olecranon approach. |
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