Email this article Osteosynthesis of Distal Humeral Metaepiphyseal Fractures Via Posterior Approach with Olecranon Preservation
- Authors: Kalantyrskaya V.A1, Golubev I.O2
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Affiliations:
- Clinical hospital for emergency care named after N.V. Solov’yov, Yaroslavl’
- Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russia
- Issue: Vol 21, No 4 (2014)
- Pages: 64-66
- Section: Articles
- URL: https://bakhtiniada.ru/0869-8678/article/view/47608
- DOI: https://doi.org/10.17816/vto20140464-66
- ID: 47608
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Abstract
Eighteen patients with distal humeral metaepiphyseal fractures were operated on during the period from 2010 to 2013. Mean age of patients made up 43.1±8.4 (22-72) years, term after injury - 4.6±1.9 (2-11) days. According to AO classification C1 fractures were diagnosed in 13, C2 - in 3, C3 - in 2 patients. In all patients distal humeral metaepiphyseal osteosynthesis with two plates placed at 90° to each other was performed. Surgical intervention was performed without olecranon osteotomy and triceps tendon was kept intact. In 12 (66.7%) cases longitudinal dissection of the triceps in its middle third was performed. Residual intraarticular displacement averaged 0.2±0.03 mm. Long term results were assessed in 10 patients at an average 12 months after operation. Mean score by subjective and objective scales made up 4.3±0.3 and 4.2±0.3 points, respectively. Main advantages of the applied osteosynthesis technique were preservation of forearm extensor muscles integrity; absence of additional fixatives in olecranon zone; absence of the necessity to perform additional intervention to remove fixatives from the olecranon.
About the authors
V. A Kalantyrskaya
Clinical hospital for emergency care named after N.V. Solov’yov, Yaroslavl’
Email: kalan.v@mail.ru
канд. мед. наук, зав. отделением хирургии кисти, реконструктивной и пластической хирургии КБ СМП им. Н.В. Соловьева; Тел. 8 (4852) 72-68-26; сот. 8 910 971 05 09 150003, Ярославль, ул. Загородный сад, д. 11, ГУЗ ЯО КБ СМП им. Н.В. Соловьева
I. O Golubev
Central Institute of Traumatology and Orthopaedics named after N.N. Priorov, Moscow, Russiaдоктор мед. наук, зав. отделением хирургии кисти ЦИТО им. Н.Н. Приорова.
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