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Open reduction and bi-columnar internal fixation of intra-articular distal humerus fractures through a combined medial and lateral approach

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European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Purpose

The aim of this retrospective study was to investigate the suitability of bi-columnar internal fixation through a combined medial and lateral approach for the treatment of intra-articular distal humerus fractures.

Methods

Nineteen cases of intra-articular distal humerus fractures were treated with open reduction and bi-columnar internal fixation through a combined medial and lateral approach. The reduction in the articular surface and functional recovery of the affected elbows was assessed at an average follow-up of 15.8 ± 7.9 (7–43) months.

Results

The gap in the main articular fragments was less than 1 mm in 16 cases, while a gap of more than 1 mm and less than 2 mm was identified in 2 cases and of 3.7 mm in one case. All the fractures were united. At the latest follow-up, the mean flexion–extension of the elbows was 113.4° ± 20.7°, while the pronation–supination of the forearms was 158.3° ± 8.5°, and the mean Mayo Elbow Performance Index was 93.7 ± 9.1 points, leading to 13 excellent outcomes, and 6 with good results.

Conclusions

Intra-articular fractures of the distal humerus can be effectively treated by open reduction and internal fixation through a combined medial and lateral approach at the elbow.

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Acknowledgments

This work was supported by the fund of the National Natural Science Foundation of China (81171704).

Conflict of interest

No benefits in any form have been or will be received from a commercial party related directly or indirectly to the subject of this manuscript.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, Shanghai Sixth People’s Hospital, Shanghai Jiaotong University, 600 Yishan Road, Shanghai, 200233, China

    Xiaoxing Xie, Hui Qin, Longxiang Shen, Bingfang Zeng & Zhiquan An

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  1. Xiaoxing Xie
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  2. Hui Qin
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  3. Longxiang Shen
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  4. Bingfang Zeng
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  5. Zhiquan An
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Correspondence to Zhiquan An.

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Xie, X., Qin, H., Shen, L. et al. Open reduction and bi-columnar internal fixation of intra-articular distal humerus fractures through a combined medial and lateral approach. Eur J Orthop Surg Traumatol 24, 1115–1122 (2014). https://doi.org/10.1007/s00590-013-1302-2

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  • DOI: https://doi.org/10.1007/s00590-013-1302-2

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