Treatment of Supracondylar or Intercondylar Fracture of Humerus in Adult

Lee, Byung Ho; Ha, Sang Ho; Choi, Sun Jin

doi:10.12671/jksf.1998.11.3.665

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…7,8) However, several disadvantages of posterior approach have been reported by Rhee et al 9) For instance, the incision of the triceps brachii has been shown to be associated with muscle weakness and with restriction in elbow movement and the triceps brachii has been shown to directly obstruct the distal viewing window for the radial nerve, which altogether diminishes the accessibility to the lateral intermuscular septum. Another surgical approach for humeral fractures is the minimally invasive plate fixation, which was established to overcome complications associated with preceding methods, such as periosteal circulation defects and deep infection induced by incision and by soft tissue dissection.…”

Section: Discussionmentioning

confidence: 99%

An Anterior Approach to Entire Length of Humerus and to Distal Shaft for Fracture Fixation

Lee¹,

Choi²,

Kim³

et al. 2016

Clinics in Shoulder and Elbow

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Background: The aim of study was to confirm the clinical effectiveness and results of wide and single anterior approach for frac tures occurring along length of humerus. Methods: A total of 23 patients with humeral fracture were enrolled into our study who were able to participate in at least one year of follow-up. Seven patients had segmental comminuted humeral fractures and 16 patients had distal humeral fractures. We made various tractions of the muscles to expose the proximal and the middle third humerus between the biceps and brachialis and the distal humerus by partial splitting of lateral side of biceps through a single inci sion. Postoperatively, we mea sured the Mayo elbow performance index (MEPI). Results: we achieved bone union in all 23 patients. Solid union of the bone was achieved at an aver age 13.9 weeks. Postoperatively, two complications were observed screw loosening and nonunion. Revision surgery was performed in both patients. The patient with bone nonunion was treated using bone grafts. No postoperative infections or peripheral neuropathies were observed. At the final followup (average 20 months), we found that the average MEPI functional score of the patients was 91.7 points regardless of the fracture site. Conclusions: Our whole humerus with a single incision was effective for the treatment of seg mental comminuted and distal fractures. we believe it is a useful alternative to preexisting methods of fracture fixation. (Clin Shoulder Elbow 2016;19(4):223-228)

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Section: Discussionmentioning

confidence: 99%