Clinical study on the management of extra-articular distal humerus fracture treated with extra-articular distal humeral locking compression plate

Dutta, Anshuman; Kotoky, Anup Jyoti; Sipani, Arun Kumar; Daolagupu, Arup Kumar

doi:10.22271/ortho.2019.v5.i1a.01

Cited by 1 publication

(4 citation statements)

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“…However, in repair of extra-articular distal humerus fractures, a low-contoured 4.5mm screw DCP has not been shown to yield good results as it doesn't provide an adequate area to hold a sufficient number of cortices given the small size of the distal fragment. 8 A 4.5mm screw DCP also risks impingement of structures in the olecranon fossa. 8 Double-plating with two 3.5 mm screw plates can deal with this problem but has its own pitfalls such as requiring extensive soft tissue dissection leading to prolonged surgery time.…”

Section: Introductionmentioning

confidence: 99%

“…8 A 4.5mm screw DCP also risks impingement of structures in the olecranon fossa. 8 Double-plating with two 3.5 mm screw plates can deal with this problem but has its own pitfalls such as requiring extensive soft tissue dissection leading to prolonged surgery time. 6,8 That being the case, double-plating has still shown to provide more satisfactory control of angulation and optimal stability while allowing for early range of motion.…”

Section: Introductionmentioning

confidence: 99%

“…8 Double-plating with two 3.5 mm screw plates can deal with this problem but has its own pitfalls such as requiring extensive soft tissue dissection leading to prolonged surgery time. 6,8 That being the case, double-plating has still shown to provide more satisfactory control of angulation and optimal stability while allowing for early range of motion. 1 An extra-articular distal humeral locking compression plate (EADHLCP) has been designed to circumvent shortcomings seen with double plating.…”

Section: Introductionmentioning

confidence: 99%

“…The oblique design prevents impingement on the olecranon fossa. 8 In this study, we have reviewed outcomes of the use of EADHLCP in extra-articular distal humerus fractures.…”

Section: Introductionmentioning

confidence: 99%

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Functional Outcome of Extra-Articular Distal Humerus Fracture Fixation Using a Lateral Column Locking Compression Plate

Ghega¹,

Effan

Ansari³

et al. 2022

J Ayub Med Coll Abbottabad

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Background: A host of different methodologies have been implemented in the management of distal humerus fractures, including conservative measures and surgical fixation with a variety of plates. This study was conducted to evaluate the functional outcome of open reduction and internal fixation of extra articular distal humerus fractures with distal humerus locking compression plate. Methods: This is a retrospective cohort study of patients with close extra articular distal humerus fractures who underwent open reduction and internal fixation with a distal humerus locking compression plate at Ghurki Trust Teaching Hospital from July 2017 to December 2019. Various demographic indicators were used for data analysis and radiological union was assessed in serial follow-ups. Functional outcome was evaluated using the Mayo Performance Elbow Score at the final follow-up. Results: Thirty-one patients presented with extra-articular fracture of humerus (N=31) with average age 33.5±9.90 years. The average follow-up period was 13.8 months. Radiological union was achieved in 14.8 weeks (range 12–20 weeks). Out of 31 patients, 28 had excellent results with mean Mayo Elbow Performance Score of 94.8. Two patients (6.5%) had radial nerve palsy post-operatively. Conclusion: This study shows that open reduction and internal fixation of extra-articular distal humerus fractures with distal humerus locking compression plates allows for stable fixation, good functional outcome, and low complication rates.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The oblique design prevents impingement on the olecranon fossa. 8 In this study, we have reviewed outcomes of the use of EADHLCP in extra-articular distal humerus fractures.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations