Objective To explore the treatment effect of intercondylar fracture of humerus through approach of osteotomy of olecranon (AOO) with dual anatomical steel plate(DASP). Method From July 2000 to March 2013,30 patients of intercondylar fracture of humerus were treated surgical y through AOO, and the fracture was reduced and fixed with DASP. The patients included 18 males and 12 females with a mean age of 34 years (range 17~56 years), According to Riseborough and Radin classification, type Ⅱ fracture was found in 7 cases, type Ⅲ in 18, type Ⅳ in 5. Early rehabilitation exercises was taken in al the cases.Result The fractures in al the cases were satisfactory reduced but two not too good, none had incision infection, injuries of the ulnar nerve.Al 30 patients were fol owed up from 8 months to 23 months (average 14.6 months), of these 30 patients, al the osteotomies healed in 12.8 weeks averagely(range 12~18 weeks) and the injuried ulnar nerve recovered completely. The function of the elbow (according to Cassbaum scale) showed excel ent in 10 cases,good in 14, fair in 4 and poor in 2. the good-excel ent rate was 80%.Conclusion The technique of DASP is a good method for the treatment intercondylar fracture of humerus through transolecranon approach.
intercondylar fractures of humerusinternal fixationeffect