Triceps-reflecting anconeus pedicle approach with double precontoured locking plate fixation is efficient in the treatment of orthopaedic trauma association type C distal humerus fracture

Injury ◽  
2016 ◽  
Vol 47 (10) ◽  
pp. 2240-2246 ◽  
Author(s):  
Ying-Chao Chou ◽  
Yung-Heng Hsu ◽  
Yi-Hsun Yu ◽  
Chi-Chuan Wu
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Orthopaedic Trauma ◽  
Distal Humerus Fracture ◽  
Locking Plate Fixation ◽  
Type C

scholarly journals STUDY OF THE FUNCTIONAL OUTCOME OF SURGICAL MANAGEMENT OF INTRA-ARTICULAR DISTAL HUMERUS FRACTURE (AO/OTA TYPE C) IN ADULTS

2020 ◽  
pp. 1-3
Author(s):  
Ravindra Prasad ◽  
L B Manjhi
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Functional Outcome ◽  
Surgical Management ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Joint Surface ◽  
Distal Humerus Fracture ◽  
Complex Anatomy ◽  
Type C

Introduction: Distal humerus fracture in adults particularly complete articular (AO/OTA Type C) remain some of the most difficult injuries to manage. Complex anatomy of distal humerus combined with multifragmented fracture, sparse soft tissue cover with adjacent neurovascular structures poses great difficulty for treatment. Goal of treatment is to obtain a painless, stable and mobile elbow joint through a systematic approach. Aim: to study the functional outcome of surgical management of complete articular distal humerus fracture in adults. Method: a prospective study comprising of 20 patients treated surgically with open reduction and internal fixation using Orthogonal plating (dorsolateral and medial 3.5mm LCP) through trans olecranon approach. Result: Mean age of patients was 36.6 years (range 19 to 58 years) with male dominance, most fractures were of type 13C1 (AO/OTA). RTA accounts for most common mode of injury, majority of them being left sided. Mean operative time was 130 minutes. Complications included one case of superficial infection, 3 cases of ulnar neuropathy and non-union in 2 cases. Mean range of motion of elbow was 89 degree. Functional outcome assessed using Mayo Elbow Performance Score (MEPS) shown Excellent result in 12 cases, good to fair results in 6 and poor result in 2 cases. Conclusion: Anatomical restoration of joint surface and rigid internal fixation with bicolumnar orthogonal plating allowing early range of motion is the key for obtaining good functional results in complete articular distal humerus fractures. However, outcomes do deteriorate with increasing fracture complexity.

scholarly journals Outcome of precontoured locking plate fixation in distal humerus fractures

2017 ◽  
Vol 3 (1c) ◽  
pp. 145-148
Author(s):  
Gurjinder Singh ◽  
◽  
HS Sohal ◽  
Rakesh Sharma ◽  
Jatin Banal ◽  
...  
Keyword(s):  
Locking Plate ◽  
Plate Fixation ◽  
Distal Humerus ◽  
Locking Plate Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Functional outcome evaluation of distal humerus fracture fixation

2020 ◽  
Vol 6 (3) ◽  
pp. 467
Author(s):  
Boddu Sunil ◽  
Sandeep Krishna Avulapati ◽  
Suraj Kumar Choudhary ◽  
Susmitha Koneru
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Distal Humerus ◽  
Outcome Evaluation ◽  
Humerus Fracture ◽  
Treatment Modalities ◽  
Research Centre ◽  
Distal Humerus Fracture ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

<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>

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