A prospective study of functional outcome in intra articular distal humerus fracture treated with dual plating

Chouhan, Shailendra; Bhinde, Sandeep; Shekhawat, Yogendra Singh; Panwar, Nameet

doi:10.22271/ortho.2018.v4.i2a.10

Cited by 3 publications

(2 citation statements)

References 5 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…All patients in our study achieved fractures union with mean MEP score excellent in 2 (10%), good in 12 (60%) patients. We achieved Good to Excellent result in 70% cases, comparable to Chouhan S 2018 15 . Our range of motion results are consistent with those of other studies Elhage R 2001 16 67%, Caja VL 1994 17 70% for the repair of intra-articular distal humerus fractures.…”

Section: Poor 1 5%supporting

confidence: 57%

Operative Management of Intra-Articular Fractures of Distal Humerus in Adult

2018

J Liaquat Uni Med Health Sci

View full text Add to dashboard Cite

OBJECTIVE: To assess the results of operative treatment of intra-articular fractures of distal humerus in adult. METHODOLOGY: This descriptive, non-randomized, uncontrolled study using convenience sampling technique was carried out at Fatima Hospital Baqai Medical University and Jinnah Medical College Hospital's Orthopedic Departments between March 2012 and Feb 2016. The study was based on a total of 20 patients with an AO Type C; Closed and Open-Gustilo Type-I fractures of distal humerus. The age range of participants was between 18 to 52 years (inclusive) and belonged to both sexes. All patients were operated under general anaesthesia. Trans-olecranon and posterior Campbell's approaches were used. Fractures were secured through reconstruction or dynamic compression plates and inter-fragmentary screws. Posterior splint was applied post-operatively. SPSS version 20 was used to analyze the data received after following up from the patients under study. RESULTS: Evaluations of the patients were done as per the guidelines of Mayo Elbow Performance (MEP) Score. The results were excellent in 10%, good in 60%, fair in 25%; and poor in 5% cases. CONCLUSION: For adults, stable internal fixation of intra-articular fractures of distal humerus is termed as gold standard. It requires adequate surgical exposure, careful operative planning, anatomical reduction of articular fragments and early active rehabilitation.

show abstract

Section: Poor 1 5%supporting

confidence: 57%

Operative Management of Intra-Articular Fractures of Distal Humerus in Adult

2018

J Liaquat Uni Med Health Sci

View full text Add to dashboard Cite

show abstract

“…In adults, distal humerus fractures are uncommon and intra-articular, often involve both the medial and lateral columns [1] . Distal humerus fractures account for one-third of all elbow injuries.…”

Section: Introductionmentioning

confidence: 99%

A prospective study to evaluate the functional outcome in intra-articular distal humerus fractures treated by dual plating

Gautam¹,

Gupta²,

Pandey³

et al. 2022

Int. J. Orthop. Sci.

View full text Add to dashboard Cite

Introduction:In adults, distal humerus fractures are uncommon and intra-articular, often involve both the medial and lateral columns1. Distal humerus fractures account for one-third of all elbow injuries. The fractures are usually complex, involve intra-articular surface, in our study Double plate fixation is considered the correct treatment for a comminuted intra-articular fracture of the distal humerus. The objective of this study was to evaluate the clinical outcome in intra articular distal humerus fractures treated surgically with dual plates. Material Methods: prospective study was conducted in our hospital SRMS IMS Bhojipura Bareilly for a period of 18 months between November 2019 to April 2021. We studied 12 patients with distal humerus intercondylar fracture, included in study as per inclusion criteria treated surgically with dual plating. All the patients aged between 18 to 60 years. Results: Mean age of the patient was 41 +/-13.39 years 7 cases were male and rest were female left sided involvement was more frequent in the present study 7 (58.3%) percent. 9 (75%) cases sustained fracture due to RTA followed by 3 cases due to fall from height According to AO classification, 13-C1, 13-C2 and 13-C3 fracture was reported among 41.7%, 41.7% and 16.7% of the subjects respectively. After 24 weeks of surgery, out of 5 subjects with 13-C1; good and excellent outcome was reported in 1 and 4 subjects respectively, while out of 5 subjects with 13-C2, good and excellent outcome was reported in 2 and 3 subjects respectively. All the subjects with 13-C3 fracture had fair outcome Out of total, 66.7% of subjects undergo open reduction and internal fixation of distal humerus with olecranon osteotomy whereas 33.3% subjects undergo surgery with paratricepital approach After 24 weeks of surgery, out of 8 subjects with olecranon osteotomy; fair and excellent outcome was reported in 2 and 6 subjects respectively, while out of 4 subjects with para-tricepital approach; good and excellent outcome was found in 3 and 1 subjects respectively average duration of operative time was 117.35 +/-4.93 minutes. Average duration of radiological union was 15 +\-2.83 week, outcome was calculated using Mayo elbow performance score (MEPS) showed excellent in 58.3%(7) good in 16.7% (2) and in 25% (3) with no poor outcome. Conclusion:Our study supports the use of dual locking plate fixation as an effective modality in treating intra-articular distal humeral fractures. It addresses the difficulties encountered while managing these fractures and provides a stable fixation with predictable and satisfactory results and an early return to function.

show abstract

Functional outcome of type 13 C2 distal humerus fractures treated with precontoured locking plates

Gowtam

Gunaki

2021

Formosan Journal of Surgery

View full text Add to dashboard Cite

A prospective study of functional outcome in intra articular distal humerus fracture treated with dual plating

Cited by 3 publications

References 5 publications

Operative Management of Intra-Articular Fractures of Distal Humerus in Adult

Operative Management of Intra-Articular Fractures of Distal Humerus in Adult

A prospective study to evaluate the functional outcome in intra-articular distal humerus fractures treated by dual plating

Functional outcome of type 13 C2 distal humerus fractures treated with precontoured locking plates

Contact Info

Product

Resources

About