Application of composite internal fixation in treating humeral condylar fracture

Objective: To investigate the combination of reconstruction plate,screw,Babcock needle and thread tension in treating humeral condylar fracture. Methods: Fifteen patients suffered C-type humeral condylar fractures were treated with pressure hollow screw,Babcock needle,steel wire combined with reconstruction plate to reconstruct humeral condylars. For those with sevier defects, autogenous iliac bone grafting,and early post-operative exercises were used. Results: All patients were followed up for 12 to 36 months. The fracture healing time was from 2.1 to 7.2 months. According to the modified Cassebaum scoring system of elbow joint function, there were 5 excellent cases,7 good cases,2 fair case and 1 poor case; the excellent and good rate was 80.00%. Conclusions: Composite fixation of plate,screw,Babcock needle and thread tension is consistent with biomechanical principles,basically realized the humeral condylar reconstruction. Multi-bit,multi-dimensional space pressure fixation,and early exercise can improve the recovery elbow joint function.