Humeral intercondylar fractures are very challenging in clinical treatment. There are many problems not clear. One of the important problems remained to be solved is which fixation method can achieve the best effects after olecranon osteotomy. Therefore, the investigators are going to perform a retrospective analysis of patients with distal humerus fractures admitted to their hospital in 2012-2017 to compare the functional outcomes of elbow joints with tension-band fixation and plate fixation after olecranon osteotomy.
Humeral intercondylar fractures are very challenging in clinical treatment. Because the humeral intercondylar fracture is comminuted and often occurs in elderly patients with osteoporosis, it is difficult to achieve rigid fixation during the operation and failure of fixation occurs from time to time after the operation. Nonunion and reoperation have brought great sufferings to the patients.In recent years, both surgical methods and technique of internal fixation have been greatly improved, but there are still many problems not clear. Olecranon osteotomy has been proven to be an effective approach for comminuted intercondylar fractures and there are different fixation methods to fix the proximal ulna after intercondylar fixation. However, it is not clear which method can achieve the best effects. Therefore, the investigators are going to perform a retrospective analysis of patients with distal humerus fractures admitted to their hospital in 2012-2017 to compare the functional outcomes of elbow joints with tension-band fixation and plate fixation after olecranon osteotomy.
Study Type
OBSERVATIONAL
Enrollment
100
Beijing Jishuitan Hospital
Beijing, China
Functional result of elbow (objective)
Assess function of patients' affected elbow by MEPS (Mayo elbow performance score)
Time frame: 1 year post-op
Functional result of elbow (subjective)
Assess function of patients' affected elbow by and DASH (Disabilities of arm, shoulder and hand)
Time frame: 1 year post-op
Range of motion of elbow
Measure and record the ROM of the affected elbow,including flexion, extension, pronation and supination degree.
Time frame: 1 year post-op
Complication: infection
Record patients' information about infection if any, including superficial and deep infection.
Time frame: 1 year post-op
Complication:stiffness
Record whether the patients had elbow stiffness (ROM\<100° or arthrolysis having been performed)
Time frame: 1 year post-op
Complication: internal fixation irritation
Record whether there were internal fixation irritations
Time frame: 1 year post-op
Complication: failure of internal fixation
Record whether the patients have gone through internal fixation failure
Time frame: 1 year post-op
Complication: post-traumatic arthritis
Record if the patients have developed into post-traumatic arthritis, if any, record the degree.
Time frame: 1 year post-op
severity of ulnar nerve injury
Assess and record severity of ulnar nerve injury (paralysis or weakness of intrinsic muscle of hand or parathesia of ring and little finger)
Time frame: 1 year post-op
severity of pain
Assess severity of pain by VAS (Visual analogue scale)
Time frame: 1 year post-op
nounion
Record if there is nonunion of the olecranon (evaluated by X-ray or CT scan)
Time frame: 1 year post-op
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.