Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2002-7-5
pubmed:abstractText
Intercondylar fractures of the distal humerus in adults are difficult management problems on account of the complex anatomy of the elbow, small sized fracture fragments and the limited amount of sub-chondral bone, which is often osteopenic. The results of managing these fractures non-operatively are compromised by the failure to get anatomical reduction and early mobilization. This often results in a painful stiff elbow and/or pseudarthrosis, thereby making an operative approach for these fractures, desirable. Fifty-five such fractures, operated on by the author during the last 9 years, were reviewed. All the fractures were managed by open reduction and internal fixation followed by early mobilization. The outcome in 51 of these cases was graded as excellent or good using the evaluation criteria of Aitken and Rorabeck. Thirty-three of these cases achieved a range of flexion of more than 130 degrees. There was minimal incidence of complications like ulnar nerve neuropraxia or heterotopic bone formation. Anterior transposition of the ulnar nerve was performed in only one of the patients. Dorsal application of both the plates instead of the commonly advocated supracondylar crest placement resulted in a stable configuration requiring less extensive dissection and retraction of the ulnar nerve and resulting in a low incidence of complications.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jul
pubmed:issn
0020-1383
pubmed:author
pubmed:issnType
Print
pubmed:volume
33
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
511-5
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed:year
2002
pubmed:articleTitle
Intercondylar fractures of the distal humerus in adults: a critical analysis of 55 cases.
pubmed:affiliation
Department of Orthopaedics, Postgraduate Institute of Medical Sciences, 42/9 J Medical Enclave, Rohtak, India. gupta3@vsnl.com
pubmed:publicationType
Journal Article, Evaluation Studies