Comparison of three different approaches in the treatment of intercondylar fracture of humerus

LUO Wei-yuan; WU Song; DENG Yu-jie; FAN Dong-dong; FANG Pei-xiong

doi:10.3969/j.issn.1009-4237.2017.10.011

Abstract：Objective To study the application of three different approaches in the treatment of intercondy-lar fracture of humerus. Methods Clinical data of 102 cases of intercondylar fracture of humerus in Dongguan City Fenggang Hospital was retrospectively analyzed. According to the surgical approach, they were divided into three groups,with 34 cases in each group. Group A used the traditional triceps tongue flap approach,group B used olecra-non osteotomy approach and group C used medial and lateral triceps approach. The operative parameters and postop-erative complications of the three groups were recorded. Three months after operation,the patients were scored ac-cording to the Mayo elbow function scoring system. The treatment efficiency was calculated and the results were compared. Results The operation time of the three groups was ( 128. 4 ± 24. 5 ) , ( 86. 0 ± 27. 5 ) and ( 80. 3 ± 24. 5) min,respectively,and the difference was statistically significant (P <0. 05). Postoperative drainage was (380. 8 ± 31. 8),(350. 8 ± 32. 4) and (286. 9 ± 26. 4) mL,respectively,and there were significant differences a-mong the three groups (P<0. 05). The complication rate had no significant difference (P>0. 05). The treatment efficiency was 61. 8％,88. 2％ and 88. 2％,respectively,and the difference was statistically significant ( F=6. 35, P<0. 05). Conclusion The olecranon osteotomy approach and medial and lateral triceps approach for surgical treatment of intercondylar fracture of humerus had significant clinical effect,which can greatly recover the elbow joint function,and the triceps lateral approach can effectively reduce postoperative drainage.