Using autograft in the surgical treatment of isolated distal ulna fractures with open reduction internal fixation improves short-term clinical outcomes: 11 years of experience

Introduction: Surgical treatment of distal humerus fractures can lead to numerous complications. Data suggest that the number of screws in the distal (articular) segment may be associated with complication rate. The purpose of this study is to evaluate the association between a number of screws in the distal segment and complication rate for surgical treatment of distal humerus fractures. We hypothesize that the number of screws in the articular segment of distal humerus AO/OTA C-type fractures treated with open reduction internal fixation (ORIF) will be inversely proportional to the complication rate. Methods: We performed a single-center retrospective cohort study of 27 patients who underwent ORIF of distal humerus fractures C-type with at least six months of radiographic and clinical follow-up. Clinical outcomes including a range of motion, pain, revision surgery for stiffness and/or heterotopic ossification (HO), nonunion, and persistent ulnar nerve symptoms requiring revision neurolysis were recorded. Results: In C-type fractures, the use of three or fewer articular screws was significantly associated with nonunion or loss of fixation (RR 17, p = 0.006). Nineteen of 36 (53%) patients experienced at least one complication. The surgical approach, plate configuration, age, and ulnar nerve treatment (none, in situ release, transposition) were not associated with the need for revision surgery. Men had a higher risk of requiring surgical contracture release due to improving post-operative stiffness (RR 12, p = 0.02). Conclusion: In this retrospective study, the use of three or fewer screws to fix articular fragments in AO type C fractures was a significant risk for nonunion or loss of fixation. Plate configuration and surgical approach did not correlate with outcomes. Men had higher rates of complications and required more frequent revision surgery compared to women.

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Clinical Outcomes of 20 Schatzker Type II Tibial Plateau Fractures after Open Reduction, Internal Fixation and Bone Grafting

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v3i10.51 ◽

2015 ◽

Author(s):

Imtiyaz Hussain Dar ◽

◽

Mohammad Mussa ◽

Sulaiman Sath ◽

Munir Farooq ◽

...

Keyword(s):

Internal Fixation ◽

Clinical Outcomes ◽

Bone Grafting ◽

Open Reduction ◽

Tibial Plateau ◽

Open Reduction Internal Fixation ◽

Tibial Plateau Fractures ◽

Type Ii ◽

Schatzker Type

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Short-Term Outcomes of Total Hip Arthroplasty After Complications of Open Reduction Internal Fixation for Hip Fracture

The Journal of Arthroplasty ◽

10.1016/j.arth.2005.08.013 ◽

2006 ◽

Vol 21 (5) ◽

pp. 682-688 ◽

Cited By ~ 32

Author(s):

Mitchell Winemaker ◽

Patrick Gamble ◽

Danielle Petruccelli ◽

Sarkis Kaspar ◽

Justin de Beer

Keyword(s):

Hip Fracture ◽

Total Hip Arthroplasty ◽

Internal Fixation ◽

Hip Arthroplasty ◽

Open Reduction ◽

Open Reduction Internal Fixation ◽

Short Term ◽

Total Hip

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Hospital Readmissions After Surgical Treatment of Proximal Humerus Fractures: Is Arthroplasty Safer Than Open Reduction Internal Fixation?

Clinical Orthopaedics and Related Research ◽

10.1007/s11999-014-3613-y ◽

2014 ◽

Vol 472 (8) ◽

pp. 2317-2324 ◽

Cited By ~ 24

Author(s):

Alan L. Zhang ◽

William W. Schairer ◽

Brian T. Feeley

Keyword(s):

Surgical Treatment ◽

Internal Fixation ◽

Open Reduction ◽

Proximal Humerus ◽

Hospital Readmissions ◽

Open Reduction Internal Fixation ◽

Proximal Humerus Fractures ◽

Humerus Fractures

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Short Term Outcomes Following Open Reduction Internal Fixation Surgery for a Distal Radius Fracture: 2 Week Versus 4 Week Immobilization. A Retrospective Analysis

Geriatric Orthopaedic Surgery & Rehabilitation ◽

10.1177/21514593211004528 ◽

2021 ◽

Vol 12 ◽

pp. 215145932110045

Author(s):

Angela Toemen ◽

Shirley Collocott ◽

Wolfgang Heiss-Dunlop

Keyword(s):

Internal Fixation ◽

Distal Radius Fracture ◽

Open Reduction ◽

Retrospective Cohort ◽

Cohort Analysis ◽

Open Reduction Internal Fixation ◽

Hand Therapy ◽

Short Term ◽

Post Surgery ◽

Retrospective Cohort Analysis

Study design: The study was a retrospective cohort analysis for a 41 month period; from January 2013 to May 2016. Introduction: It is suggested that patients following a distal radius fracture (DRF) achieve a comparable outcome at 3 and 6 months post surgery regardless of the time they begin mobilization. In previous studies there has been limited analysis of outcomes within the initial 3 months: functional return, time taken from work and use of therapy resources are key outcomes which have not formally been investigated in previous studies. Purpose of the study: To analyze short term outcomes of patients following open reduction internal fixation (ORIF) for a DRF. Methods: A retrospective cohort analysis was conducted to determine primarily if there is a difference in time from work, number of therapy appointments, cost of therapy materials, time to discharge from therapy and secondarily range of motion (ROM) and grip strength (GS); when measured in patients who begin mobilization prior to 2 weeks compared to those who begin mobilization at 4 or greater weeks post surgery. Results: Patients mobilized early were discharged from hand therapy significantly quicker (p = 0.033) and returned to work significantly faster (p = 0.019) than those mobilized later. Patients who began mobilization at 2 weeks or earlier post surgery had significantly greater wrist extension/flexion arc at 4 weeks (p < 0.001) and 6 weeks (p < 0.001) and rotation at 4 weeks (p < 0.001). Conclusions: Patients who begin mobilization at 2 weeks or earlier following ORIF for a DRF will lose less time from work and will be discharged sooner from hand therapy. They will additionally have increased ROM in the early post surgery phase.

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