Functional Outcome of Intra-Articular Fractures of the Distal Humerus Treated with Open Reduction and Internal Fixation with Distal Humeral Locking Plates and Screws

Background: Supracondylar fracture of the distal humerus is one of the commonest fracture in pediatric age group. Though there is consensus of treating type III fracture operatively, no study has compared the outcome between Closed Reduction and Percutaneous Pinning (CRPP) and Open Reduction and Internal Fixation (ORIF) with k-wire in our setup. Materials and Methods: Retrospective comparison study was done on eighty seven cases of Type III supracondylar fracture of distal humerus underwent operative procedure. Fifty four (54) cases underwent CRPP and 33 cases were managed with ORIF with k-wire, and they were followed up till 6 months post-operatively. Results : The mean time for radiological union in patient who underwent CRPP was 4.37±0.94 weeks and that for the patient who underwent ORIF was 4.45±0.13 weeks, the difference of which was statistically insignificant (p-value >0.05). 83.3% of CRPP group and 78.8% in ORIF group had excellent functional outcome and only 3% in ORIF group had poor functional outcome. Conclusion: Though both the group don’t have significant advantage of functional outcome among each other CRPP with limited attempt should be preferred to ORIF with k-wire for the advantage of avoiding surgical scar and reducing surgery time and exposure to anaesthetic agents.

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External and internal fixation for comminuted intra-articular fractures of distal radius

Kathmandu University Medical Journal ◽

10.3126/kumj.v7i4.2756 ◽

1970 ◽

Vol 7 (4) ◽

pp. 369-373 ◽

Cited By ~ 1

Author(s):

RL Pradhan ◽

S Lakhey ◽

BK Pandey ◽

RR Manandhar ◽

KP Rijal ◽

...

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

External Fixation ◽

Distal Radius ◽

Open Reduction ◽

Distal Radius Fractures ◽

High Rate ◽

Volar Plating ◽

Radius Fractures ◽

Articular Fractures

Background: Distal radius fractures are a common injury and without proper treatment leads to high functional impairment and frequent complications. Objective: The aim of this study was to see the functional outcome in patients with comminuted distal radius fractures treated with combined external fixation and open reduction with volar plating. Materials and methods: All comminuted distal radius fractures classified as type C in AO/OTA classification were enrolled for the study from 2005 till 2008. The clinical scoring chart modified by Cooney was used to evaluate the functional outcome. Results: There were twenty-two patients with the average age of 42.18 years (range 19-60) with 15 male and 7 females. The follow-up period was from 14 to 46 months. Accordingly, there were 11 (50%) excellent, 7 (31%) good, 2 (9%) fair and 2 (9%) poor results. There were very few complications in our series. In three patients additional K-wire supplementation was necessary along with external and open internal fixation. Conclusions: Comminuted intra-articular fractures of distal radius should be treated by open reduction and combined internal and external fixation to achieve a high rate of patient satisfaction and satisfactory functional outcome. Key words: distal radius fractures; volar plating; external fixationDOI: 10.3126/kumj.v7i4.2756 Kathmandu University Medical Journal (2009) Vol.7, No.4 Issue 28, 369-373

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Evaluation of Functional Outcomes of Intra-articular Fractures of Distal Humerus by Open Reduction and Internal Fixation

JOURNAL FOR CLINICAL AND DIAGNOSTIC RESEARCH ◽

10.7860/jcdr/2018/32802.11489 ◽

2018 ◽

Author(s):

Gokul Chand Verma ◽

Sarita Jilowa ◽

Jitendra Singh ◽

Dinesh Rathi

Keyword(s):

Internal Fixation ◽

Functional Outcomes ◽

Open Reduction ◽

Distal Humerus ◽

Articular Fractures

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Functional outcome of elbow joint in AO type 13C fractures treated with open reduction and internal fixation using dual plates

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20191793 ◽

2019 ◽

Vol 5 (3) ◽

pp. 509

Author(s):

Uyyalawada Sreedhar Reddy ◽

Bheemsingh Samorekar ◽

Vinay J. Mathew ◽

Anil Kumar Mettu

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Distal Humerus ◽

Range Of Movement ◽

Excellent Outcome ◽

Significant Difference ◽

Dual Plating ◽

Type C ◽

A Prospective Study

Background: Distal end of the humerus, with its unique orientation of articular surfaces supported by a meagre amount of cancellous bone, makes its fracture a constant challenge to orthopaedic surgeons. Aim of the study is to evaluate the functional outcome of surgical management of intercondylar AO type C fractures of distal end of humerus using dual plating.Methods: A prospective study was conducted at our hospital between January 2015 to December 2016. Thirty five consecutive patients with intercondylar (AO Type C) fracture of distal humerus, included in study as per inclusion criteria. All patients were treated surgically using triceps reflecting approach and posterior trans-olecranon approach with ulnar nerve exploration and fixation using dual plating and tension band wiring for olecranon osteotomy wherever done.Results: In 35 patients, final results using MEPS scoring system excellent outcome is noticed in 15 patients (42.86%), good results is noticed in 13 patients (37.14%), fair result is noticed in 5 patients (14.29%) and poor result is noticed in 2 patients (5.71%). There was statistical significant difference in flexion range of movement arc at 2 and 6 months in our study.Conclusions: Open reduction and internal fixation of AO type 13C fractures is challenge to surgeon, preoperative planning and mastering the technique over a period of time gives good to excellent functional outcomes.

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Open Reduction and Internal Fixation of Intra-Articular Fractures of the Distal Humerus

Operative Techniques: Orthopaedic Trauma Surgery ◽

10.1016/b978-1-4160-4935-7.50011-9 ◽

2010 ◽

pp. 105-115

Author(s):

Paul R.T. Kuzyk ◽

Emil H. Schemitsch

Keyword(s):

Internal Fixation ◽

Open Reduction ◽

Distal Humerus ◽

Articular Fractures

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Intra articular fracture of distal end of radius treated by open reduction and internal fixation with buttress plate-a clinical study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20171895 ◽

2017 ◽

Vol 3 (3) ◽

pp. 518

Author(s):

Pavankumar H. Patil ◽

Srinivas Pamarathi

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Point System ◽

Unstable Fracture ◽

Articular Fracture ◽

Medical College ◽

Articular Fractures ◽

Buttress Plate

Background: Recognition of fracture patterns and fixation of fracture to secure and maintain reduction is the key for successful management of more complex intra articular fractures of distal radius. Devices like buttress plates have been shown to provide excellent stability for an unstable fracture with either dorsal or volar metaphyseal comminution. The objective of the study was to evaluate the functional outcome of intra articular fracture of distal end of radius treated by open reduction and internal fixation by buttress plate using Criteria of Gartland and Werley Point System.Methods: Twenty patients with intra articular fracture of distal end radius were treated by open reduction and internal fixation by buttress plate in Al-Ameen medical college, Bijapur. Statistical analysis: The data obtained was represented as percentage.Results: The study included 20 patients, 11 males and 9 females aged from 21 to 69 years with mean of 40.2 years. The average duration of follow-up was 7 months ranged from 6-10 months. Using the Demerit scoring system of Gartland and Werley, we had 20% excellent results, 45% good results, 20% fair results and 15% poor result whereas, excellent to good results were found in 65% of patients. Conclusions: Open reduction and internal fixation by buttress plate provides better functional outcome in treating the intra articualar fracture of distal end radius. Excellent to good results are produced by using buttress plate for fixation of intra articular fractures of distal end radius. So, this procedure can be used as alternative to other procedures in treating intra articular fractures of distal end radius.

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Radiological and functional outcome of open reduction and internal fixation of extra articular distal humerus fracture using anatomical plate

Journal of Medical Science And clinical Research ◽

10.18535/jmscr/v9i12.22 ◽

2021 ◽

Vol 09 (12) ◽

Author(s):

Dr Kiran Gurung ◽

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

Distal Humerus ◽

Humerus Fracture ◽

Distal Humerus Fracture

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Study on functional outcome of bimalleolar ankle fractures treated by open reduction and internal fixation

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20211604 ◽

2021 ◽

Vol 7 (3) ◽

pp. 518

Author(s):

Nithin Gangadhran ◽

Manju G. Pillai

Keyword(s):

Internal Fixation ◽

Functional Outcome ◽

Open Reduction ◽

External Rotation ◽

Outcome Measurement ◽

Weight Bearing ◽

Ankle Fractures ◽

Cortical Screw ◽

Articular Fractures ◽

Prospective Longitudinal

Background: Ankle injury is the most common weight bearing orthopaedic musculoskeletal trauma encountered in emergency medicine and practice. Ankle joint is highly congruous and any disturbance of normal articular relationship may result in some progressive arthrosis of biomechanical dysfunction. As with all intra-articular fractures it necessitates accurate reduction and stable internal fixation. The objectives were to study the functional outcome of surgical treatment of bimalleolar ankle fractures and to know the complications of open reduction internal fixation of bimalleolar fractures.Methods: 45 patients with malleolar fractures were included in this prospective longitudinal interventional study. Patients who underwent operative treatment were followed up regularly for 6 months with OPD visits and X-ray imaging at each stage. Patient parameters were recorded at immediate post op period, 6 weeks, 12 weeks and 24 weeks. Baird and Jackson scoring system for ankle were used for the functional outcome measurement.Results: Most common type of injury pattern was supination-external rotation with 21 cases (47% of cases). The results are excellent to good in 65% of patients, 27% of patients had fair and 8% had poor result. Syndesmotic screw fixation was done with 4.5 mm cortical screw in 7 cases. Most common complication was surgical site infection in 3 cases (6.67%). 2 patients underwent implant removal due to unresolved infection at 3 months.Conclusions: The results of operative fixation were satisfactory in 90% of patients. Most of the complications were minor and resolved within three weeks.

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