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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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Purpose: The olecranon osteotomy in intra-articular comminuted distal humerus fractures is a suggested technique for ex-cellent exposure of articular fractures. However, complications including delayed union, nonunion of osteotomy site have been reported. Authors have applied predrilling for cannulated screw before osteotomy for achievement of rapid and accurate reposition of separation part and added wire fixation for secure stability. The purpose of this study is to evaluate the efficacy of this fixation procedure following the olecranon osteotomy during the internal fixation of intra-articular fracture of the distal humerus.Materials and Methods: This study retrospectively analyzed 14 cases (9 women and 5 men) of intra-articular distal humerus fractures in which the olecranon osteotomy was applied. The mean age of patients was 53.4 years (range, 25 to 83 years), and the average follow-up period was 15.9 months. Eleven cases were classified as AO 13-C3, and the other 3 cases were AO 13-C2. Reduction accuracy, union period of osteotomy site on follow-up radiographs and postoperative complications related to olecranon osteotomy were evaluated.Results: All osteotomized parts showed no position change and solid union with normal alignment at the last follow-up. The mean period of bony union was 3.5 months (range, 2 to 5 months). There were no complications related to olecranon osteotomy except one case of non-displaced fracture of the proximal ulnar shaft at the level of cannulated screw tip caused by forceful passive physical therapy. It was managed by conservative treatment without further problem.Conclusion: Predrilled cannulated screw and wire fixation following the olecranon osteotomy during internal fixation of in-tra-articular comminuted distal humerus fractures showed satisfactory results in the union of osteotomy site and it could be a recommendable procedure when fractures require olecranon osteotomy.
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참고문헌 (17)
참고문헌 신청
Cassebaum WH / 1952 / Operative treatment of T and Y fractures of the lower end of the humerus / Am J Surg 83:265~270
Cassebaum WH / 1969 / Open reduction of T & Y fractures of the lower end of the humerus / . J Trauma 9:915~925
Wilkinson JM / 2001 / Posterior surgical approaches to the elbow: a comparative anatomic study / J Shoulder Elbow Surg 10:380~382
Illical EM / 2014 / Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures / Injury 45:1545~1548
Coles CP / 2006 / The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus / J Orthop Trauma 20:164~171
Cassebaum WH / 1969 / Open reduction of T & Y fractures of the lower end of the humerus / . J Trauma 9:915~925
Wilkinson JM / 2001 / Posterior surgical approaches to the elbow: a comparative anatomic study / J Shoulder Elbow Surg 10:380~382
Illical EM / 2014 / Comparison of outcomes after triceps split versus sparing surgery for extra-articular distal humerus fractures / Injury 45:1545~1548
Coles CP / 2006 / The olecranon osteotomy: a six-year experience in the treatment of intraarticular fractures of the distal humerus / J Orthop Trauma 20:164~171
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