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Internal fixation of humeral condylar fracture

WANG Ya-bin,ZHANG Yun-qing,ZHOU Zheng-ming,et al.Department of Orthopaedics,Jiangyin Hospital Affiliated to Southeast University,Jiangyin 214400,China  
Objective To evaluate the clinical outcome of the double plate fixation for the treatment of humeral condylar fracture.Methods The use of internal fixation with two plates for 44 cases of humeral intercondylar fractures was analyzed retrospectively.According to AO/OTA classification,there were 10 cases of type C1 fracture,18 cases of type C2 fracture,and 16 cases of type C3 fracture.Fracture healing time and the Mayo elbow performance score were recorded during the postoperative follow-up period.Results Thirty-nine patients were available for review.The average length of follow-up was 21.6 months(from 13 to 31 months).The average fracture healing period was 14.7 weeks(from 12 to 21 weeks).The mean Mayo elbow performance score was 82.4 points(from 100 to 45 points).Conclusion Open reduction plus dual plate fixation is able to provide rigid fixation for the humeral intercondylar fractures.It can allow early functional exercise after operation,and improve the functional results.
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