Effect analysis of anterior transposition of the ulnar nerve for double locking plate fixation in the treatment of patients with humeral intercondylar fracture

MENG De-qiang; LIU De-chang; ZHANG Xin-chao

Abstract：Objective To investigate the clinical efficacy of anterior transposition of the ulnar nerve for double locking plate fixation in the treatment of patients with humeral intercondylar fracture. Methods A total of 113 cases of humeral intercondylar fractures treated in our hospital from Feb. 2008 to Feb.2013 were randomly di-vided into two groups. Both groups underwent double locking plate fixation and the observation group was also per -formed ulnar nerve transposition. The clinical efficacy of the two groups was compared. Results Operation time of the observation group was more than that of the control group, the difference was statistically significant (P<0.01);while the hospitalization time, healing time of fracture was less than those of the control group, the difference was sta-tistically significant ( P<0.01 ). The bleeding during operation of two groups had no significant difference ( P>0.05);The function recovery of elbow joint of the observation group was better than that of the control group, the difference was statistically significant ( Z=-2.177,P=0.029);complications of the two groups after operation in-cluded incision swelling, subcutaneous hematoma, plate fracture, nerve injury and there was no significant difference (P>0.05).Complications of the two groups were relieved after symptomatic treatment and comprehensive care. Conclusion Double locking plate fixation combined with anterior transposition of the ulnar nerve for the treatment of humeral intercondylar fracture is helpful to the promotion of clinical efficacy and function recovery of the elbow joint and reduction of adverse effect.