The internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture

Abstract

Objective To explore the effect and surgical management of the internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intercondylar splintered fracture. Methods 50 patients with severe condyle humeral intercondylar splintered fractures were treated by double plate internal fixation through oleeranon osteotomy. Results All patients （50 cases） were followed up for 6 months to 2 years. The complications such as bone defect, ossifyingmyositis, tardive ulnar nerve compression, and internal fixation fail were not found. According to Aitken Rorabeck scale,the function of the elbow showed excellent in 35 cases, good in 9 cases, fair in 6 cases,the excellent and good rate was 88%. Conclusion The internal fixation with double steel plate by the olecranon osteotomy approach in the treatment of severe condyle humeral intereondylar splintered fracture was a good approach. Anatomical reduction surgically reconstructed stabilization of the elbow and early active rehabilitation were crucial factors of functional rehabilitation of the elbow. Key words: Severe humeral condyle splintered fracture; Oleeranon osteotomy; Fracture fixation