An anterior neurovascular interval approach to coronal shear fractures of the distal humerus: a prospective clinical study with short- to mid-term follow-up.

Authors:
Xiao-Hua Yang
Xiao-Hua Yang
Peking University People's Hospital
Chen Wei
Chen Wei
Wenzhou Medical University
China
Guo-Ping Li
Guo-Ping Li
Fudan University
China
Jian-ji Wang
Jian-ji Wang
Henan Normal University
China
Hai-tao Zhao
Hai-tao Zhao
Emergency Center of Trauma Treatment
Xiang-yu Cao
Xiang-yu Cao
General Hospital of Chinese People's Liberation Army
Ying-Ze Zhang
Ying-Ze Zhang
The Third Hospital of Hebei Medical University
China

Rev Assoc Med Bras (1992) 2019 Mar 11;65(3):355-360. Epub 2019 Apr 11.

Emergency Center of Trauma, The Third Hospital of Hebei Medical University, Shijiazhuang 050051, China.

Object: To explore the treatment effect of the anterior medial neurovascular interval approach to coronal shear fractures of the distal humerus.

Methods: This prospective study included two female patients who were 30-64 years old, with a mean age of 47 years. Fractures were caused by falling from a bicycle. The time between the injury and operation was 1-2 days, with a mean time interval of 1.5 days. Two patients with coronal shear fracture of the distal humerus were treated with open reduction and internal fixation using anterior neurovascular interval approach.

Results: There were no intraoperative and postoperative neurological and vascular complications or infections, and the fracture was united. At 12 months after the surgery, the patient returned to work without pain, and with a normal range of motion for elbow and forearm rotation. The X-rays revealed excellent fracture union, no signs of heterotopic ossification, and no traumatic arthritis. According to Mayo's evaluation standards for elbow function, a score of 100 is excellent.

Conclusions: The application of the anterior neurovascular interval approach of the elbow in the treatment of shear fracture of the articular surface of the distal humerus, particularly the trochlea of the humerus, can reduce the stripping of the soft tissue.

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Source
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S
Publisher Site
http://dx.doi.org/10.1590/1806-9282.65.3.355DOI Listing
March 2019
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