title: [Treatment of severely comminuted fractures of humeral intercondylar through approach of osteotomy olecranon with double-plate internal fixation].
abstract: OBJECTIVE
  To explore surgical management and the effects of surgical treatment of severely comminuted fractures of humeral intercondylar through approach of osteotomy olecranon with double-plate internal fixation.
  
  
  METHODS
  Thirty patients of severely comminuted fractures of humeral intercondylar were treated by double-plate internal fixation through osteotomy olecranon. There were 19 males and 11 females, with an average age of 42.3 years ranging from 21 to 62. According to AO/ASIF classification, there were 17 cases of type C2 and 13 of C3. Twenty-one cases were applied with reconstructive plate medially and laterally, 9 cases were applied with reconstructive plate laterally and 1/3 tubular plate medially.
  
  
  RESULTS
  All patients were followed-up for 6 months to 3 years (means 1.5 years). The complications such as bone defect, ossifying myositis, tardive ulnar nerve compression, internal fixation fail were no occurenced. According to Aitken-Rorabeck scale the function of the elbow showed excellent in 16 cases, good in 10, fair in 2 and poor in 2.
  
  
  CONCLUSIONS
  Anatomical reduction surgically reconstructed stabilization of the elbow and early active rehabilitation are crucial factors of functional rehabilitation of the elbow. The technique of osteotomy olecranon with double-plate internal fixation for treatment of severely comminuted fractures of humeral intercondylar is a good approach.
authors.affiliation: Traditional Chinese Medical Hospital, Pinghu 314200, Zhejiang, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Yang
authors.forename: Pin-Qiang
authors.initials: PQ
authors.lastname: Huang
authors.forename: Jun-Wu
authors.initials: JW
authors.lastname: Fang
mesh_terms: D000328:Adult; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D018460:Fractures, Comminuted / Q000628:therapy*; D006801:Humans; D006811:Humerus / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000379:methods*; D012046:Rehabilitation; D016896:Treatment Outcome; D055815:Young Adult