Extra-articular and Intra-articular Olecranon Osteotomy in the Treatment of Patients with Intercondylar Fractures of the Distal Humerus_West China Medical Journal

Authors：

 LUOZhong-chun , LIUKai , SONGChun-lin , ZHONGLang ,  JIANGJun-wei

Department of Orthopedics, People's Hospital of Leshan, Leshan, Sichuan 614000, P. R. China;

Corresponding author：

JIANGJun-wei, Email: 285061643@qq.com

Keywords：

Extra-articular osteotomy; Intra-articular osteotomy; Intercondylar fractures of the distal humerus; Clinical outcome

DOI：

10.7507/1002-0179.20150006

Video：

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Objective To compare extra-articular and intra-articular olecranon osteotomy in treating intercondylar fractures of the distal humerus managed with open reduction and internal fixation regarding the functional outcomes and complications. Methods Between September 2008 and December 2010, 36 patients with intercondylar fractures of the distal humerus were treated by open reduction and internal fixation using the trans-olecranon approach. Among the, 21 underwent extra-articular olecranon osteotomy and 15 accepted intra-articular olecranon osteotomy. The mean follow-up time was three years. We compared the elbow function, the rate of no non-union or delayed union and the rate of postoperative complications between the two groups. Results The elbow function and Mayo elbow performance scores were good at the latest follow-up. There was no non-union in all osteotomies. We found significant difference in delayed union (P=0.01) and traumatic arthritis rate (P=0.02) between the two groups. Conclusion Extra-articular olecranon osteotomy is better for bone union and the decrease of traumatic arthritis rate.

Citation： LUOZhong-chun, LIUKai, SONGChun-lin, ZHONGLang, JIANGJun-wei. Extra-articular and Intra-articular Olecranon Osteotomy in the Treatment of Patients with Intercondylar Fractures of the Distal Humerus. West China Medical Journal, 2015, 30(1): 26-29. doi: 10.7507/1002-0179.20150006 Copy

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6.	王永才, 王红川, 楼华, 等.经尺骨鹰嘴截骨双侧锁定加压钢板内固定治疗C型肱骨远端骨折[J].中国修复重建外科杂志, 2013, 27(11):1404-1405.
7.	林绍仪, 刘金伟.经尺骨鹰嘴截骨入路双侧平行钢板固定治疗肱骨远端关节内骨折[J].中国骨与关节损伤杂志, 2013, 28(1):86-87.
8.	顾海伦, 杨军, 丁立峰, 等.尺骨鹰嘴截骨结合双钢板技术治疗肱骨髁间粉碎性骨折[J].中华创伤杂志, 2013, 29(5):407-410.
9.	田大胜, 荆珏华, 周云, 等.尺骨鹰嘴截骨双钢板内固定治疗青壮年C型肱骨髁间骨折[J].创伤外科杂志, 2013, 15(3):226-229.
10.	Mckee MD, Kim J, Kebaish K, et al. Functional outcome after open supracondylar fractures of the humerus. The effect of the surgical approach[J]. J Bone Joint Surg Br, 2000, 82(5):646-651.
11.	Gofton WT, Macdermid JC, Patterson SD, et al. Functional outcome of AO type C distal humeral fractures[J]. J Hand Surg Am, 2003, 28(2):294-308.
12.	吴英华, 张铁良, 金硕, 等.经尺骨鹰嘴关节外斜行截骨治疗肱骨髁间骨折[J].中华骨科杂志, 2005, 25(8):472-475.
13.	刘小坡, 刘德群, 刘会仁, 等.经尺骨鹰嘴入路关节外斜行截骨对血供影响解剖学观察[J].中国临床解剖学杂志, 2008, 26(4):363-365.
14.	Schmidt-Horlohe K, Wilde P, Bonk A, et al. One-third tubular-hook-plate osteosynthesis for olecranon osteotomies in distal humerus type-C fractures:a preliminary report of results and complications[J]. Injury, 2012, 43(3):295-300.
15.	刘会仁, 刘小坡, 刘德群.尺骨鹰嘴关节外截骨入路的解剖学研究及临床意义[J].中国临床解剖学杂志, 2009, 27(1):9-11.

1. Nauth A, Mckee MD, Ristevski B, et al. Distal humeral fractures in adults[J]. J Bone Joint Surg Am, 2011, 93A(7):686-700.
2. Gainor BJ, Moussa F, Schott T. Healing rate of transverse osteotomies of the olecranon used in reconstruction of distal humerus fractures[J]. J South Orthop Assoc, 1995, 4(4):263-268.
3. 王振威, 徐建高, 常林顺.经尺骨鹰嘴关节外斜行截骨治疗肱骨髁间骨折[J].中华创伤骨科杂志, 2006, 8(7):681-682.
4. 张喜海, 徐杨博, 卓乃强, 等.复杂肱骨远端骨折内固定失败相关因素分析及对策[J].中国骨与关节损伤杂志, 2010, 25(2):176-177.
5. Tian D, Jing J, Qian J, et al. Comparison of two different double-plate fixation methods with olecranon osteotomy for intercondylar fractures of the distal humeri of young adults[J]. Exp Ther Med, 2013, 6(1):147-151.
6. 王永才, 王红川, 楼华, 等.经尺骨鹰嘴截骨双侧锁定加压钢板内固定治疗C型肱骨远端骨折[J].中国修复重建外科杂志, 2013, 27(11):1404-1405.
7. 林绍仪, 刘金伟.经尺骨鹰嘴截骨入路双侧平行钢板固定治疗肱骨远端关节内骨折[J].中国骨与关节损伤杂志, 2013, 28(1):86-87.
8. 顾海伦, 杨军, 丁立峰, 等.尺骨鹰嘴截骨结合双钢板技术治疗肱骨髁间粉碎性骨折[J].中华创伤杂志, 2013, 29(5):407-410.
9. 田大胜, 荆珏华, 周云, 等.尺骨鹰嘴截骨双钢板内固定治疗青壮年C型肱骨髁间骨折[J].创伤外科杂志, 2013, 15(3):226-229.
10. Mckee MD, Kim J, Kebaish K, et al. Functional outcome after open supracondylar fractures of the humerus. The effect of the surgical approach[J]. J Bone Joint Surg Br, 2000, 82(5):646-651.
11. Gofton WT, Macdermid JC, Patterson SD, et al. Functional outcome of AO type C distal humeral fractures[J]. J Hand Surg Am, 2003, 28(2):294-308.
12. 吴英华, 张铁良, 金硕, 等.经尺骨鹰嘴关节外斜行截骨治疗肱骨髁间骨折[J].中华骨科杂志, 2005, 25(8):472-475.
13. 刘小坡, 刘德群, 刘会仁, 等.经尺骨鹰嘴入路关节外斜行截骨对血供影响解剖学观察[J].中国临床解剖学杂志, 2008, 26(4):363-365.
14. Schmidt-Horlohe K, Wilde P, Bonk A, et al. One-third tubular-hook-plate osteosynthesis for olecranon osteotomies in distal humerus type-C fractures:a preliminary report of results and complications[J]. Injury, 2012, 43(3):295-300.
15. 刘会仁, 刘小坡, 刘德群.尺骨鹰嘴关节外截骨入路的解剖学研究及临床意义[J].中国临床解剖学杂志, 2009, 27(1):9-11.

West China Medical Journal

Extra-articular and Intra-articular Olecranon Osteotomy in the Treatment of Patients with Intercondylar Fractures of the Distal Humerus

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