부산대학교 도서관

The comminuted intercondylar fracture of the distal humerus is rather uncommon injury. Because of anatomic complexity of the distal humerus. any incongrousness makes loss of function of the elbow joint. Hence, for the complete restoration of the articular surface and joint motion, wide exposure is necessary, while stable internal fixation and early post operative exercise should bc conducted. With the frequency of comminution and displacement. this intraarticular fracture is difficult to treat. But the fabrication of new implants and development of surgical approach method has increased the reliability of operative stabilization. The authors compared 16 patients of distal humeral fracture treated with transolecranon approach and Campbell's posterior approach at The Department of Orthopaedic Surgery. College of Medicine, Soonchunhyang University from Dec. 1991 to Oct. 1994 and following results were obtained: In transolecranon approach, the operation time was slightly longer with technical difficulties. However, we had excellent exposure of posterior aspect of lower end of the humerus and had a good range of motion. especially in flexion contracture compared with posterior approach. Also, we hardly observed complications of fracture of the olecranon in tansolecranon approach.