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.

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

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

Intra-articular Distal Humerus Fractures: Parallel Versus Orthogonal Plating

2021 ◽  
pp. 155633162110098
Author(s):  
Jack M. Haglin ◽  
David N. Kugelman ◽  
Ariana Lott ◽  
Rebekah Belayneh ◽  
Sanjit R. Konda ◽  
...  
Keyword(s):  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Fracture Repair ◽  
Chi Square ◽  
Locking Compression Plates ◽  
Dual Plating ◽  
Dual Plate ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Background: Dual-plating osteosynthesis is the standard treatment for Orthopedic Trauma Association (OTA)-type 13-C distal humerus fractures. However, optimal plate position is debated. Purpose: The purpose of this study was to evaluate dual-plate positioning following intra-articular distal humerus fracture repair by comparing outcomes between patients plated in parallel and those plated orthogonally following open-reduction, internal-fixation (ORIF) of intra-articular distal humerus fractures. Methods: All OTA-type 13-C intra-articular distal humerus fractures treated operatively at our institution over a 10-year period were reviewed. Clinical outcomes and complications were compared between those plated in parallel and those plated orthogonally. Data were analyzed using independent-samples t-tests, Mann-Whitney U tests, chi-square tests, and Fisher’s exact tests. Results: A total of 69 patients met inclusion criteria. Mean follow-up among this cohort was 19.3 months; 45 (64.8%) patients had orthogonal dual plating, and 24 (35.2%) had parallel plating. Groups did not differ with respect to demographics or duration of follow-up. Clinically, there were no significant differences in time to union, elbow arc of motion at any time point, or patient Mayo Elbow Performance Index (MEPI) scores at final follow-up. Furthermore, there were no differences in complications. Conclusion: Parallel and orthogonal plating following ORIF of distal humerus fractures with modern, contoured locking compression plates had similar outcomes in this study. This study represents the largest comparative series in the literature at the time of its writing. Both techniques may be considered when deciding on dual-plating technique for treating intra-articular 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 To study the clinical outcome in distal humerus fractures with orthogonal plating via the olecranon osteotomy approach

2020 ◽  
Vol 6 (4) ◽  
pp. 85-89
Author(s):  
Dr. Ravindra Patil ◽  
Dr. Shreyansh Mehta ◽  
Dr. Vijaysinh Manik Bhosale ◽  
Dr. Akshay Sanjay Anchalia ◽  
Dr. Yash P Oza
Keyword(s):  
Clinical Outcome ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

ORIF with orthogonal plating in the management of complex distal humerus fractures -A prospective study of 30 patients

2020 ◽  
Vol 11 (4) ◽  
pp. 6060-6065
Author(s):  
Yeshwanth subash ◽  
Vishnu S ◽  
Damodharan
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Distal Humerus ◽  
Dash Score ◽  
Functional Evaluation ◽  
Elderly Age ◽  
Excellent Outcome ◽  
Humerus Fractures ◽  
The Mean ◽  
Distal Humerus Fractures

Fractures of the distal humerus are quite challenging due to the nature of the fracture. They are compounded by factors such as gross and osteoporosis, especially in the elderly age group. This study was performed to evaluate the functional outcome following ORIF (Open reduction and internal fixation) of these fractures with orthogonal plating. Thirty patients with complex fractures of the distal humerus who presented between April 2011 to April 2014 were managed with ORIF with orthogonal plating. They were followed up for three years. Functional evaluation was performed using the MEPS (Mayo elbow performance score) and the DASH score (Disabilities of arm, shoulder and hand). The right elbow was more commonly affected, as seen in 16 patients, and the most common mode of injury was road traffic accidents. The average time to fracture union was 11.6 weeks. The mean MEPS score was 88.5±11.6 with 85.6% of patients having a good or excellent outcome, and the mean DASH score was 23.2 points. ORIF with orthogonal plating of complex distal humerus fractures provides a stable fixation construct and gives good functional outcomes to the patient.

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