首页> 美国卫生研究院文献>Strategies in Trauma and Limb Reconstruction >Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach
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Retrospective analysis of extra-articular distal humerus shaft fractures treated with the use of pre-contoured lateral column metaphyseal LCP by triceps-sparing posterolateral approach

机译:肱三头肌保留后外侧入路预矫形外侧柱干phy端LCP治疗肱骨远端肱骨干骨折的回顾性分析

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摘要

Management of extra-articular distal humerus fractures presents a challenge to the treating surgeon due to the complex anatomy of the distal part of the humerus and complicated fracture morphology. Although surgical treatment has shown to provide a more stable reduction and alignment and predictable return to function, it has been associated with complications like iatrogenic radial nerve palsy, infection, non-union and Implant failure. We in the present series retrospectively analysed 20 patients with extra-articular distal humerus shaft fractures surgically treated using the extra-articular distal humeral locking plate approached by the triceps-sparing posterolateral approach. The outcome was assessed using the DASH score, range of motion at the elbow and the time to union. The mean time to radiographic fracture union was 12 weeks.
机译:由于肱骨远端的复杂解剖结构和复杂的骨折形态,肱骨远端关节外骨折的治疗对治疗医生提出了挑战。尽管手术治疗已显示出更稳定的复位和对准以及可预测的功能恢复,但它与诸如医源性radial神经麻痹,感染,不愈合和植入失败等并发症相关。我们在本系列研究中回顾性分析了20例肱骨远端肱骨干远端骨折的手术治疗,这些患者采用肱三头肌保留后外侧入路入路。使用DASH评分,肘部运动范围和愈合时间评估结局。放射线照相骨折愈合的平均时间为12周。

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