Outcome of Surgical Fixation of Lateral Column Distal Humerus Fractures

2016 ◽  
Vol 30 (5) ◽  
pp. 245-250 ◽  
Author(s):  
Arvind Von Keudell ◽  
Amir R. Kachooei ◽  
Ali Moradi ◽  
Jesse B. Jupiter
Keyword(s):  
Distal Humerus ◽  
Lateral Column ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Study of clinical outcome in intra articular distal humerus fractures treated with dual plating

2017 ◽  
Vol 5 (6) ◽  
pp. 2438
Author(s):  
Riyaz B. Shaik ◽  
Venugopala Reddy P. ◽  
Ashok Naidu K.
Keyword(s):  
Clinical Outcome ◽  
Road Traffic ◽  
Distal Humerus ◽  
Complex Nature ◽  
Lateral Column ◽  
Dual Plating ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Fracture Humerus

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.

Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique

2014 ◽  
Vol 23 (2) ◽  
pp. 251-257 ◽  
Author(s):  
John A. Scolaro ◽  
Pramod Voleti ◽  
Amun Makani ◽  
Surena Namdari ◽  
Amer Mirza ◽  
...  
Keyword(s):  
Distal Humerus ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Fixation of Distal Humerus Fractures: Principles and Biomechanics

2009 ◽  
Author(s):  
Charalampos G. Zalavras ◽  
Michael T. Vercillo ◽  
Bong-Jae Jun ◽  
Karimdad Amir Otarodifard ◽  
John M. Itamura ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Clinical Studies ◽  
Distal Humerus ◽  
Optimal Configuration ◽  
Lateral Plate ◽  
Lateral Column ◽  
Early Motion ◽  
Satisfactory Outcome ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Satisfactory outcome of intraarticular distal humerus fractures depends on anatomic joint restoration and stable fracture fixation to allow early motion. Orthogonal constructs (medial plate on medial column and posterior plate on lateral column) and parallel constructs (medial plate on medial column and lateral plate on lateral column) have been proposed for fixation of these fractures. However, the optimal configuration remains controversial. There are no clinical studies comparing these constructs and existing biomechanical studies had methodological limitations and reported conflicting results.

scholarly journals Challenges and Solutions in Management of Distal Humerus Fractures

2017 ◽  
Vol 11 (1) ◽  
pp. 1292-1307 ◽  
Author(s):  
Saif Ul Islam ◽  
Alexander William Glover ◽  
Mohammad Waseem
Keyword(s):  
Current Literature ◽  
Treatment Options ◽  
Distal Humerus ◽  
Surgical Anatomy ◽  
Surgical Approaches ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Trauma Surgeons ◽  
Complex Injuries

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.

scholarly journals Study of surgical fixation of extra-articular distal third humerus fractures with a posterolateral locking compression plate

2019 ◽  
Vol 5 (2) ◽  
pp. 216
Author(s):  
Ravi Kumar ◽  
Ajay Karwasra ◽  
Kishore Kunal
Keyword(s):  
Early Mobilization ◽  
Functional Results ◽  
Distal Humerus ◽  
Fracture Site ◽  
Locking Compression Plate ◽  
Compression Plate ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Fractures of the adult distal humerus account for approximately 2% of all fractures and represent a third of all humerus  fractures. Fractures of the distal third of the humerus are challenging injuries due to their peri-articular location, small size of the distal bone fragments, and the osteopenic quality of the bone in older adults.  Aim of our study was to evaluate the clinical, radiographic and functional outcomes of posterolateral locking compression plate for extra-articular distal third humerus fractures through posterior triceps splitting approach.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study done at All India Institute of Medical Sciences, Patna  in which 30 consecutive skeletally mature, closed extra-articular distal humerus fractures  underwent fixation with posterolateral  locking compression plate and outcome evaluated in terms of radiological  evidence of healing, functional outcome and complications if any.<strong></strong></p><p class="abstract"><strong>Results:</strong> Use of posterolateral plate results in predictably good union rates and excellent results terms of patient outcome without any implant related complications.</p><p class="abstract"><strong>Conclusions:</strong> We recommend using this posterolateral plate for these humerus fractures, because of its consistent results with respect to fracture union, stability across the fracture site and early mobilization for better functional results.</p>

scholarly journals Effects Supervised Versus Home-Based Rehabilitation on Functional Outcome after Surgical Fixation

2021 ◽  
Vol 15 (10) ◽  
pp. 2692-2694
Author(s):  
Haroon-ur- Rehman Gillani ◽  
Muhammad Umar Habib ◽  
Danish Hassan ◽  
Syed Muhammad Shah
Keyword(s):  
Functional Outcome ◽  
Distal Humerus ◽  
Healing Time ◽  
Radiographic Evaluation ◽  
Home Based ◽  
Elbow Fractures ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Background: The focus for early postoperative motion in stable fixation is aimed at good restoration of joint anatomy in relation to movements, strength, and joint play and to compare the functional outcomes after the surgical repair of distal humerus fractures in contrast with supervised and home-based rehabilitation. Aim: To provide guidelines to effectively manage the post-operative functional complications. Method: Sixty-four patients with the distal humerus fractures were treated surgically, participated in the study at the mean follow up of 6 months. Mayo Elbow Performance Score (MEPS), Disabilities of the Arm shoulder and Hand (DASH), Visual Analogue Scale and Goniometer, radiographic evaluation was done to assess outcomes at baseline (2nd week after cast removal), 10th week &6th month post-operative. Results: Among 60 patients, average MEPS, DASH, Arc of motion was significantly better in supervised rehabilitation group in contrast with home-based rehabilitation group (p=0.00, CI 95%). Average healing time observed on radiographs was 10-12 weeks. The overall complication rate was only 4.7%, while most of the minor complications resolved without any intervention. Conclusions: Outcomes of distal humerus fractures were good to excellent in both groups, whereas supervised rehabilitation provided better outcomes in context with ranger of motion, mobility, and functionality. Keywords: Olecranon Osteotomy, Elbow Fractures, Functional outcome, Elbow Rehabilitation

Open or Closed Pinning for Distal Humerus Fractures in Children?

Swiss Surgery ◽  
2003 ◽  
Vol 9 (2) ◽  
pp. 76-81 ◽  
Author(s):  
de Buys Roessingh ◽  
Reinberg
Keyword(s):  
Distal Humerus ◽  
Neurological Involvement ◽  
Cubitus Varus ◽  
Cubitus Valgus ◽  
Fractures In Children ◽  
Motor Deficiency ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
With Screws ◽  
Length Of Hospitalization

Introduction: In children, the choice between percutaneous pinning (PP) and open pinning fixation (OPF) for the surgical treatment of fractures of the distal humerus remains controversial, especially the PP method for internal humeral condylar (IHC) fractures. Patients and methods: Eighty fractures of the distal humerus in children were treated surgically in our hospital over a ten year period. 47% (n = 38) were supracondylar (SC), 20% (n = 16) comminuted (COM), 18% (n = 14) internal humeral condylar (IHC), and 15% (n = 12) lateral humeral condylar (LHC). We used PP, OPF and three times osteosynthesis with screws. Results: In comparison to OPF, PP reduced the length of hospitalization in SC fractures (2.8 versus 6.1 days) and IHC fractures (2.4 versus five days). It reduced the risk of extension deficiency (11.1% versus 15%) and of cubitus valgus (0% versus 20%) in SC fractures, and of cubitus varus in IHC fractures (0% versus 11.1%). However it induced a higher rate of cubitus valgus (11.1% versus 20%) in IHC fractures, one persistent neurological motor deficiency (radial nerve) and four cases of transitional neurological involvement (ulnar nerve). Conclusions: PP is a good surgical method for SC and for also for IHC fractures, if performed by experienced surgeons so as to avoid neurological damage.

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