scholarly journals Number of screws in the articular segment of distal humerus AO/OTA C-type fractures treated with open reduction internal fixation is associated with complication rate

SICOT-J ◽  
2021 ◽  
Vol 7 ◽  
pp. 25
Author(s):  
Brian F. Grogan ◽  
Nicholas C. Danford ◽  
Cesar D. Lopez ◽  
Stephen P. Maier ◽  
Pinkawas Kongmalai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Internal Fixation ◽  
Surgical Approach ◽  
Revision Surgery ◽  
Complication Rate ◽  
Open Reduction ◽  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

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.

scholarly journals Open reduction internal fixation with triceps-sparing approach in distal humerus fracture: an experience from a tertiary level hospital in Mangalore

2019 ◽  
Vol 5 (2) ◽  
pp. 345
Author(s):  
Bhaskar Bhandary ◽  
Sachin Shetty ◽  
Mohammed Shabir Kassim ◽  
Amlan Mohapatra
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Open Reduction ◽  
Final Analysis ◽  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Range Of Movement ◽  
Humerus Fractures ◽  
The Mean ◽  
Distal Humerus Fractures

<p class="abstract"><strong>Background:</strong> Fractures of the distal humerus represent challenging problems to an orthopaedic surgeon. The present study aimed to assess the range of movement after performing open reduction and internal fixation of distal humerus fractures treated with triceps sparing approach.</p><p class="abstract"><strong>Methods:</strong> This prospective study included all skeletally mature patients with distal humerus fractures and operated at our center with open reduction and internal fixation of distal humerus with triceps on or triceps sparing approach were included in the study. During the study period 30 cases underwent surgery and were included in the final analysis. Fractures were classified according to the AO/OTA classification. Patients will be followed up at 6 weeks, 12 weeks and at 6 months. Mean range of motion of the fractured elbow at different follow up points were compared.<strong></strong></p><p class="abstract"><strong>Results: </strong>The mean age of the total population was 37.7±13.8 years, 57% males and left side was affected in 60% of the patients. Majority of the patients had a range of motion in normal elbow in the range 0 to 140 degrees. There was an increase in the mean range of movement from 63.4±14.2 at 6<sup>th</sup> week to 120±6 at 24<sup>th</sup> week, and this change was statistically significant (p&lt;0.001).</p><p class="abstract"><strong>Conclusions:</strong> Future multicentric randomized studies, specially comparing triceps-sparing with olecranon osteotomy, are needed to support the results of our study.</p>

Open Reduction and Internal Fixation of Distal Humerus Fractures

2006 ◽  
Vol 7 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Matthew L. Ramsey ◽  
Andrea K. Bratic ◽  
Charles L. Getz ◽  
Pedro K. Beredjiklian
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Open Reduction and Internal Fixation of Distal Humerus Fractures

2010 ◽  
Vol 20 (1) ◽  
pp. 24-33 ◽  
Author(s):  
Danny P. Goel ◽  
Jeffrey M. Pike ◽  
George S. Athwal
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Arthrodesis or Open Reduction Internal Fixation for Lisfranc Injuries: A Meta-analysis

2020 ◽  
pp. 193864002097141
Author(s):  
Christopher J. Levy ◽  
David Yatsonsky ◽  
Muhammad Z. Moral ◽  
Jiayong Liu ◽  
Nabil A. Ebraheim
Keyword(s):  
Internal Fixation ◽  
Revision Surgery ◽  
Complication Rate ◽  
Open Reduction ◽  
Meta Analysis ◽  
Open Reduction Internal Fixation ◽  
T Test ◽  
Fracture Dislocation ◽  
Significant Difference ◽  
Vas Scores

The purpose of this study is to determine if arthrodesis, compared with open reduction and internal fixation (ORIF), produces favorable American Orthopaedic Foot and Ankle Society (AOFAS) and visual analogue scale (VAS) scores, and to determine if differences in complication, revision surgery, and secondary arthrodesis rates exist for patients with Lisfranc fracture/dislocation injuries. Searches were performed in PubMed using the keywords “Lisfranc fracture,” “metatarsal fracture,” “ORIF,” “open reduction internal fixation,” “arthrodesis,” and “fusion.” These criteria left 183 articles for review. Exclusions left 21 articles and 2 translations of Chinese abstracts. Data analysis was performed using Student’s 2-sample t test for samples of equal variance, and chi-square test for goodness of fit. The t test revealed a significant difference ( P = .03) between the average AOFAS score for patients who underwent primary arthrodesis (84.7 ± 6.14) compared with those who were treated with ORIF (78.9 ± 5.09). There was no significant difference for the average VAS scores ( P = .33) of the arthrodesis and ORIF groups. The complication rate of arthrodesis patients was significantly lower than ORIF patients ( P = .04), and the rates of revision surgery ( P = .22) and secondary arthrodesis ( P = .53) were not significant between the groups. The results of this study indicate that arthrodesis may be a better surgical option than ORIF, due to the higher functional scores and the lower complication rate. Levels of Evidence: Level III: A meta-analysis

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