Use of a 5-Item Modified Fragility Index for Risk Stratification in Patients Undergoing Surgical Management of Distal Humerus Fractures

Eliana B. Saltzman ◽  
Daniel R. Evans ◽  
Albert Anastasio ◽  
Ndeye Guisse ◽  
Elshaday S. Belay ◽  
Riyaz B. Shaik ◽  
Venugopala Reddy P. ◽  
Ashok Naidu K.

Background: In adults, distal humerus fractures are uncommon and intra-articular, oftenly involve both the medial and lateral columns. Open reduction and surgical fixation with plating gives good results. The aim of this study is to evaluate clinical outcome in intra articular distal humerus fractures treated with dual plating.Methods: This is a prospective type of study of 20 cases of supra condylar fracture humerus with inter condylar extension treated surgically with dual plating one on the medial boarder and another on posterior surface of lateral column using standard dorsal approach, olecranon osteotomy.Results: The range of age was between 18-52 years, with mean age of 32.55 years. The maximum incidence was between 18 to 40 years i.e. 16 cases (80%). With road traffic accident (RTA) as major cause of injury. Most   of the patients were males 14 (70%) with right upper limb was involved in 12 (60%) cases. According   to MEP score clinical outcome was excellent in 4(20%) good in 10(50%) fair in 5(25%) and poor in one (10%).Conclusions: Distal humerus fractures are known for their complex nature and technical difficult in surgical management. Proper anatomical articular reconstruction and stable fixation helps in restoring painless and functional elbow.

2017 ◽  
Vol 11 (1) ◽  
pp. 1292-1307 ◽  
Saif Ul Islam ◽  
Alexander William Glover ◽  
Mohammad Waseem

Background:Management of distal humerus fractures remains a challenge for trauma surgeons and advancements in treatment options continue to be made to achieve the best results for patients presenting with these complex fractures. Our aim in this article is to provide the surgeons with a detailed review of current literature to help them make an evidence based decision when faced with managing such complex injuries in their surgical practice.Methods:This is a comprehensive review of the current literature that details various aspects of distal distal humerus fractures such as classification, surgical anatomy, surgical approaches, treatment options, choices of devices, outcomes and complications.Results:With the advancements in techniques and equipment, there has been improvement in patients’ outcomes following surgical management of these fractures and a large proportion of these patients are able to achieve pre-injury level of function. The contoured locking plates have enabled successful fixation of many of these fractures that were previously considered unfixable. For those not amenable to surgical fixation, total elbow arthroplasty and elbow hemiarthroplasty are considered as good alternatives.Conclusion:Since the days where the ‘bag of bones’ technique was the preferred method of treating these complex injuries, techniques and outcomes have advanced greatly. However, they still present a significant technical challenge and need meticulous technique and experience to achieve optimal results.

2020 ◽  
Vol 8 (2) ◽  
pp. 75
Prasanna Kumar GS ◽  
NeetinP Mahajan ◽  
VedAshish Ravesh ◽  
NikhilD Palange ◽  
ShashibhushanS Varekar

Mark Morrey ◽  
Bernard F. Morrey ◽  
Joaquin Sanchez-Sotelo ◽  
Jon Barlow ◽  
Shawn O’Driscoll

2010 ◽  
Vol 20 (1) ◽  
pp. 24-33 ◽  
Danny P. Goel ◽  
Jeffrey M. Pike ◽  
George S. Athwal

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