PDF(Pubmed)
Abstract：
BACKGROUND: Due to its unique anatomical characteristics, supracondylar fractures of the humerus are often difficult to achieve firm fixation with internal fixation equipment, resulting in delayed functional exercise, often leaving cubitus varus deformity, elbow stiffness, contractures, and other complications. Here, we report an adult patient with a supracondylar fracture of the humerus who underwent internal fixation through an anterior median incision in the humerus with our self-developed anterior anatomical locking plate of the distal humerus.
METHODS: A 29-year-old male patient of Chinese ethnicity with trauma-induced right supracondylar fracture of the humerus and multiple soft tissue contusions, without nerve damage, blood vessel damage, or other injuries, underwent an internal incision in our hospital using a new anatomical locking plate for the anterior distal humerus fixed treatment. During the 16-month follow-up period, the patient\'s elbow range of motion was almost completely restored, functional scores were excellent, and there were no minor or major postoperative complications.
CONCLUSIONS: In this study, we propose a surgical reconstruction strategy for adult patients with supracondylar humeral fractures. Through the anterior median incision of the humerus, open reduction and internal fixation were performed with an anatomic locking plate on the anterior side of the distal humerus to restore and fix the structure of the distal humerus, and satisfactory clinical results were achieved in our case.
METHODS: A 29-year-old male patient of Chinese ethnicity with trauma-induced right supracondylar fracture of the humerus and multiple soft tissue contusions, without nerve damage, blood vessel damage, or other injuries, underwent an internal incision in our hospital using a new anatomical locking plate for the anterior distal humerus fixed treatment. During the 16-month follow-up period, the patient\'s elbow range of motion was almost completely restored, functional scores were excellent, and there were no minor or major postoperative complications.
CONCLUSIONS: In this study, we propose a surgical reconstruction strategy for adult patients with supracondylar humeral fractures. Through the anterior median incision of the humerus, open reduction and internal fixation were performed with an anatomic locking plate on the anterior side of the distal humerus to restore and fix the structure of the distal humerus, and satisfactory clinical results were achieved in our case.
摘要：
背景：由于其独特的解剖学特征，肱骨髁上骨折通常很难使用内固定设备实现牢固的固定，导致功能锻炼延迟，经常留下肘内翻畸形，弯管刚度,挛缩,和其他并发症。这里,我们报道了1例成人肱骨髁上骨折患者,采用我们自行研制的肱骨远端前路解剖锁定钢板,通过肱骨前正中切口进行内固定.
方法：1例29岁的中国男性患者，因外伤导致右肱骨髁上骨折并多处软组织挫伤，没有神经损伤,血管损伤,或其他伤害，在我院进行了内切开手术，采用新型解剖锁定钢板进行肱骨远端前固定治疗。在16个月的随访期间，病人的肘部活动范围几乎完全恢复，功能得分很好，术后无轻微或主要并发症。
结论：在这项研究中，我们提出了成人肱骨髁上骨折的手术重建策略。通过肱骨前正中切口,采用肱骨远端前侧解剖锁定钢板进行切开复位内固定,恢复和固定肱骨远端结构,在我们的病例中取得了令人满意的临床效果。
方法：1例29岁的中国男性患者，因外伤导致右肱骨髁上骨折并多处软组织挫伤，没有神经损伤,血管损伤,或其他伤害，在我院进行了内切开手术，采用新型解剖锁定钢板进行肱骨远端前固定治疗。在16个月的随访期间，病人的肘部活动范围几乎完全恢复，功能得分很好，术后无轻微或主要并发症。
结论：在这项研究中，我们提出了成人肱骨髁上骨折的手术重建策略。通过肱骨前正中切口,采用肱骨远端前侧解剖锁定钢板进行切开复位内固定,恢复和固定肱骨远端结构,在我们的病例中取得了令人满意的临床效果。
