From the X-ray film, the fracture of the distal humerus of the patient is comminuted fracture, which may be accompanied by intercondylar fracture; The patient has severe osteoporosis and poor bone quality. Fractures vary in size, and the most worrying thing in internal fixation surgery is that there is not enough bone to fix the screws, which will easily lead to the loosening of the screws and the displacement of the fracture pieces.

The patient's distal humeral fracture is on the right side. If it is a dominant hand, the functional requirements are relatively high. Because once the elbow joint function is lost, the daily life of patients will be greatly affected, such as washing face, brushing teeth, shaving, combing hair and so on. It is suggested that CT examination of the right elbow joint should be done first to further clarify the degree of fracture displacement and the size of fracture block, so as to provide more accurate information for the surgical plan (internal fixation or external fixation).

Dr. Liu Zhao solemnly reminded me that I couldn't fully understand the illness because I couldn't see the patient face to face. The above suggestions are for reference only. Please go to the hospital for specific diagnosis and treatment under the guidance of a doctor! )

Liu Zhao, xuanwu hospital/