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Lateral epicondyle osteotomy approach for coronal shear fractures of the distal humerus:Report of three cases and review of the literature

作     者:Jie Li Vidmi Taolam Martin Zhi-Wen Su Dong-Tai Li Qi-Yi Zhai Bo Yu 

作者机构:Department of OrthopedicsZhujiang Hospital of Southern Medical UniversityGuangzhou 510282Guangdong ProvinceChina 

出 版 物:《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期:2021年第9卷第17期

页      面:4318-4326页

核心收录:

学科分类:1002[医学-临床医学] 100210[医学-外科学(含:普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主  题:Distal humerus fracture Coronal shear fracture Lateral epicondyle Surgical approach Osteotomy Case report 

摘      要:BACKGROUND Coronal shear fractures of the distal humerus are rare injuries and are technically challenging to *** reduction and internal fixation(ORIF)has become the preferred treatment because it provides anatomical reduction,stable internal fixation,and early motion,but the optimal surgical approach remains *** SUMMARY We report three cases of coronal shear fractures of the distal humerus treated successfully by ORIF via a novel surgical approach,in which lateral epicondyle osteotomy was performed based on the extended lateral *** named the novel surgical approach the lateral epicondyle osteotomy *** patients underwent surgical treatment and were discharged *** patients had excellent functional results according to the Mayo elbow performance *** average range of motion was 118°in flexion/extension and 172°in pronation/*** case 2 had a complication,which was implant *** We demonstrated that the lateral epicondyle osteotomy approach in ORIF is effective and safe for coronal shear fractures of the distal humerus.

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