Functional outcome evaluation of distal humerus fracture fixation

Abstract

<p class="abstract"><strong>Background:</strong> Distal humerus fracture are complex, difficult to reduce and fix, cumbersome post-operative mobilization, and yet functional outcome is doubtful. Though various treatment modalities available for past many decades ranging from conservative management, K wire fixation to plate and screws, but still treatment remains difficult. The objective of the study was to assess functional outcome of operative fixation of distal humerus with locking plate and screws.</p><p class="abstract"><strong>Methods:</strong> Prospective study was done in during November 2015 to June 2016 in Vydehi Institute of Medical Sciences and Research Centre, Bengaluru. Patients with distal humerus fractures who were admitted into hospital for operative treatment after fulfilling inclusion and exclusion criteria were included into study. They were followed up to 6 months post-operatively. Functional outcome evaluation was done with Mayo’s elbow performance score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 30 patients were included into study with full data. We had excellent, good, fair and poor outcome in 17, 8, 3, 2 patients respectively. Except for infection in one, elbow stiffness in two and non-union in two patients, we had no other complications.</p><p class="abstract"><strong>Conclusions:</strong> Management of distal humerus fractures with preoperative evaluation, pre-operative planning, use of locking plate and screws, early mobilization can result in good functional outcome.</p>

Functional Outcomes of Distal Humerus Fractures Fixed by Orthogonal Double Plating

“…The goals of surgical treatment are to restore articular congruity and bone alignment whilst providing rigid, stable fixation that enables early active motion [7 , 8]. Previous biomechanical studies on internal fixation methods for distal humerus fractures have indicated that double-plate fixation provides adequate stability [10,11]. The standard method used by most surgeons is the application of 2 plates perpendicular to each other, with 1 on the medial supracondylar ridge and the other placed posterolaterally [13,14].…”