scholarly journals Comparative study of functional outcome between olecranon osteotomy and triceps lifting approach in osteosynthesis of distal humerus fracture

2020 ◽  
Vol 6 (1) ◽  
pp. 586-590
Author(s):  
Dr. Ravindra Shivgonda Patil ◽  
Dr. Vikas Illur ◽  
Dr. Naresh Chaudary ◽  
Dr. Vijaysinh Manik Bhosale ◽  
Dr. Gunjankumar Mukeshbhai Ghelani ◽  
...  
Keyword(s):  
Comparative Study ◽  
Functional Outcome ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture

scholarly journals STUDY OF THE FUNCTIONAL OUTCOME OF SURGICAL MANAGEMENT OF INTRA-ARTICULAR DISTAL HUMERUS FRACTURE (AO/OTA TYPE C) IN ADULTS

2020 ◽  
pp. 1-3
Author(s):  
Ravindra Prasad ◽  
L B Manjhi
Keyword(s):  
Internal Fixation ◽  
Range Of Motion ◽  
Functional Outcome ◽  
Surgical Management ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Joint Surface ◽  
Distal Humerus Fracture ◽  
Complex Anatomy ◽  
Type C

Introduction: Distal humerus fracture in adults particularly complete articular (AO/OTA Type C) remain some of the most difficult injuries to manage. Complex anatomy of distal humerus combined with multifragmented fracture, sparse soft tissue cover with adjacent neurovascular structures poses great difficulty for treatment. Goal of treatment is to obtain a painless, stable and mobile elbow joint through a systematic approach. Aim: to study the functional outcome of surgical management of complete articular distal humerus fracture in adults. Method: a prospective study comprising of 20 patients treated surgically with open reduction and internal fixation using Orthogonal plating (dorsolateral and medial 3.5mm LCP) through trans olecranon approach. Result: Mean age of patients was 36.6 years (range 19 to 58 years) with male dominance, most fractures were of type 13C1 (AO/OTA). RTA accounts for most common mode of injury, majority of them being left sided. Mean operative time was 130 minutes. Complications included one case of superficial infection, 3 cases of ulnar neuropathy and non-union in 2 cases. Mean range of motion of elbow was 89 degree. Functional outcome assessed using Mayo Elbow Performance Score (MEPS) shown Excellent result in 12 cases, good to fair results in 6 and poor result in 2 cases. Conclusion: Anatomical restoration of joint surface and rigid internal fixation with bicolumnar orthogonal plating allowing early range of motion is the key for obtaining good functional results in complete articular distal humerus fractures. However, outcomes do deteriorate with increasing fracture complexity.

A PROSPECTIVE FOLLOW UP STUDY OF FUNCTIONAL OUTCOME OF SUPRACONDYLAR HUMERUS FRACTURE WITH INTERCONDYLAR EXTENSION TREATED WITH OLECRANON OSTEOTOMY APPROACH

2021 ◽  
pp. 76-79
Author(s):  
Pradeep Choudhary ◽  
Mahesh Bhati ◽  
Ramniwas Bishnoi ◽  
Aditya Srimal ◽  
Jayesh Chouhan
Keyword(s):  
Functional Outcome ◽  
Distal Humerus ◽  
Humerus Fracture ◽  
Distal Humerus Fracture ◽  
Range Of Movement ◽  
Mayo Elbow Performance Score ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
Frequent Presence

Introduction- Olecranon osteotomy is standard approach for low transcondylar and intercondylar distal humerus fractures. Distal humerus fractures are difcult to manage successfully because of the local anatomic constraints, the frequent presence of comminution,displacement and osteopenia. We studied the functional outcome and complications following surgical xation using this approach. Material And Methods- A total 20 consecutive patients(male:15,female:5),having mean age 42.1yrs, of Distal Humerus fractures who will attend the casualty or O.P.D during the thesis period(June2018 to October2020) at Mahatma Gandhi Hospital & Mathuradas Mathur Hospital Jodhpur (Rajasthan) will be included in study group and managed surgically using olecranon osteotomy approach. Functional outcome was evaluated using the Mayo Elbow Performance Score(MEPS) and complications were observed. Results- Mean loss of extension was 10°.Mean exion achieved was 122.75°.Mean range of movement at treated elbow was 113°. All fractures united by the end of 3 months. Final results were excellent in 8 cases; good in 7 cases; fair in 4 and poor in one case. Most common complication in our study was discomfort due to hardware(6 cases). Supercial infection occurred in 2 cases. Screw/wire backout occurred in 2 cases. Elbow stiffness and malunion happened in one case. Functional outcome was also dependant on fracture subtype. Conclusion- Intraarticular distal humerus fracture treated with olecranon osteotomy approach had good articular exposure and surgical xation. This approach had good functional outcome and fewer complications.

scholarly journals A study of functional outcome after osteosynthesis of intercondylar fracture of distal humerus in adults with pre-contoured locking compression plate system

2019 ◽  
Vol 5 (6) ◽  
pp. 1107
Author(s):  
Ankur Ojha ◽  
Shashi Kant Kumar Singh
Keyword(s):  
Functional Outcome ◽  
Distal Humerus ◽  
High Rate ◽  
Humerus Fracture ◽  
Time Interval ◽  
Distal Humerus Fracture ◽  
Ulnar Nerve Palsy ◽  
Dual Plating ◽  
Plate System

<p class="abstract"><strong>Background:</strong> Intra-articular fracture of distal humerus is considerable cause of morbidity in adults. The new pre-contoured LCP system provides better angular stability in fixation of inter-condylar distal humerus fracture.</p><p class="abstract"><strong>Methods:</strong> A prospective study of 25 patients with distal humerus fracture treated with pre-contoured double plate system is conducted in Department of Orthopaedics, RIMS, Ranchi between April 2017 to March 2018. These patients were followed up 3 weekly in first 3 months, then 6 weekly in next 6 months, then at every 3 month interval. Clinical and functional outcome was evaluated on the basis of Mayo elbow performance score (MEPS).<strong></strong></p><p class="abstract"><strong>Results:</strong> 24 fixed elbows were reviewed at a follow-up period of 1 year. Results obtained were graded on the basis of MEPS, 21 patients (87.5%) were graded excellent to good, fair in 2 patients (8.3%) and poor in 1 case (4.1%). Average time interval between surgery and admission was 9 days (average 4-14 days). All the fractures as well as the olecranon osteotomies united by 10-16 weeks (12.56 weeks). Superficial wound infection and transient ulnar nerve palsy was reported in 3 (12.5%) and 1 (4.16%) respectively and was managed conservatively. 1 patients did not reported in follow up.</p><p class="abstract"><strong>Conclusions:</strong> We conclude that osteosynthesis with pre contoured dual plating of closed intracondylar distal humerus fractures provide good fixation and early rehabilitation, leading to high rate of bone union and minimal soft tissue damage.</p>

scholarly journals Functional outcome evaluation of distal humerus fracture fixation

2020 ◽  
Vol 6 (3) ◽  
pp. 467
Author(s):  
Boddu Sunil ◽  
Sandeep Krishna Avulapati ◽  
Suraj Kumar Choudhary ◽  
Susmitha Koneru
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Distal Humerus ◽  
Outcome Evaluation ◽  
Humerus Fracture ◽  
Treatment Modalities ◽  
Research Centre ◽  
Distal Humerus Fracture ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

<p class="abstract"><strong>Background:</strong> Distal humerus fracture are complex, difficult to reduce and fix, cumbersome post-operative mobilization, and yet functional outcome is doubtful. Though various treatment modalities available for past many decades ranging from conservative management, K wire fixation to plate and screws, but still treatment remains difficult. The objective of the study was to assess functional outcome of operative fixation of distal humerus with locking plate and screws.</p><p class="abstract"><strong>Methods:</strong> Prospective study was done in during November 2015 to June 2016 in Vydehi Institute of Medical Sciences and Research Centre, Bengaluru. Patients with distal humerus fractures who were admitted into hospital for operative treatment after fulfilling inclusion and exclusion criteria were included into study. They were followed up to 6 months post-operatively. Functional outcome evaluation was done with Mayo’s elbow performance score.<strong></strong></p><p class="abstract"><strong>Results:</strong> 30 patients were included into study with full data. We had excellent, good, fair and poor outcome in 17, 8, 3, 2 patients respectively. Except for infection in one, elbow stiffness in two and non-union in two patients, we had no other complications.</p><p class="abstract"><strong>Conclusions:</strong> Management of distal humerus fractures with preoperative evaluation, pre-operative planning, use of locking plate and screws, early mobilization can result in good functional outcome.</p>

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