scholarly journals Outcome of Extra-Articular Distal Humerus Fractures Fixed by Single Column Extra-Articular Distal Humerus Locking Compression Plate Using Triceps Sparing Postero-Lateral Approach

2018 ◽  
Vol 6 (4) ◽  
pp. 306-312
Author(s):  
Nadeem Ali ◽  
Naseer Ahamd Mir ◽  
Tahir Ahmad Dar ◽  
Mohmad Nawaz Rather ◽  
Wajahat Ahmad Mir ◽  
...  
Author(s):  
Pravin K. Vanchi ◽  
Raghav R. V. ◽  
Mohan Kumar M.

<p><strong>Background: </strong>Distal humerus intra-articular fractures are one of the complicated fractures managed by orthopaedic surgeons. We did a prospective and a retrospective study on 21 patients with these fractures treated with pre-contoured locking compression plate.</p><p><strong>Methods: </strong>The<strong> </strong>21 patients in this series were followed for a minimum of 1 year. The prospective study cases were followed at 3 months, 6 months and annually. The rating system of the Mayo elbow functional scoring system was used. The radiological evaluation was done using standard AP and lateral views.<strong></strong></p><p><strong>Results: </strong>We had 14 patients with range of motion of 50-100 degrees. There was only one patient with range of motion of &lt;50 degrees. 6 patients had the maximum range motion of &gt;100 degrees. We had 6 (23.57%) excellent, 9 (42.85%) good, 5 (23.80%) fair and 1 (4.7%) poor in the Mayo elbow scoring at the end of 1 year. We were able to compare our outcomes with a study done by Kumar et al done in 2017. They had 27 (89.66%) of excellent and good results as opposed to 27 (79.4%) in our study. Out of 21 patients in our study 17(80.95%) patients had good 11 (52.5%) / excellent 6 (28.5%) results. This was comparable with Jupiter et al. His study of 34 patients 26 (79.40/0) patients showed good 14 (41%) / excellent 13 (38.4%) result.<strong></strong></p><p><strong>Conclusions: </strong>Pre-contoured locking compression plate appears to be technically an ideal implant for comminuted osteoporotic bone providing an angle stable construct.</p>


Author(s):  
Ravi Kumar ◽  
Ajay Karwasra ◽  
Kishore Kunal

<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>


2017 ◽  
Vol 3 (2k) ◽  
pp. 757-764
Author(s):  
Dr. Govind Kumar Gupta ◽  
Dr. Sudha Rani ◽  
Dr. Rajkumar ◽  
Dr. Bhoopendra Singh

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