scholarly journals Comparing functional outcome of type C distal humerus fractures treated with internal fixation using olecranon osteotomy and triceps splitting approaches

2019 ◽  
Vol 3 (2) ◽  
pp. 43-46
Author(s):  
Dr. Shobha HP ◽  
Dr. Lingaraju ◽  
Dr. Santhosh Kumar M ◽  
Dr. Giridhar ◽  
Dr. Sunil Kumar PC
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Distal Humerus ◽  
Type C ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

scholarly journals Functional outcome of AO type C distal humerus fractures treated with internal fixation using olecranon osteotomy in a tertiary care hospital

2021 ◽  
Author(s):  
Simranpreet Singh ◽  
Mudasser Arif ◽  
Sanjeev Gupta
Keyword(s):  
Functional Outcome ◽  
Tertiary Care ◽  
Early Mobilization ◽  
Elbow Flexion ◽  
Distal Humerus ◽  
Care Hospital ◽  
Medical College ◽  
Type C ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Background: Distal humerus fractures are commonly encountered in the orthopedic emergency. The goals in the treatment of these fractures are aimed at perfect anatomical reduction which could be obtained by open reduction and internal fixation.Methods: A prospective cohort study was conducted from July 2019 to December 2020 in Government Medical College, Jammu on 35 patients with AO type C distal humerus fractures. Functional outcomes were recorded and evaluated at end of 6 months using mayo elbow performance score (MEPS) score. 3 patients were lost in the follow up and were not included in the study.Results: 32 patients in the age group 20-65 years were included in the study with a mean age of 42.5 years. Males outnumbered females in ratio of 3:1. Patients undergoing olecranon osteotomy for fixation of distal humerus fractures had mean elbow flexion (121±8.3), loss of elbow extension (10.3±4.2). The functional outcome was made using MEPS score with a mean of 84±8.4 at final follow up.Conclusions: In this study we concluded that olecranon osteotomy approach provided better outcome. Intraarticular distal humerus fractures was better visualized with olecranon osteotomy approach and allowed early mobilization.

Functional Outcome of Intercondylar Distal Humerus Fractures Surgically Treated with Open Reduction and Internal Fixation with a Principle Based on Orthogonal Plating Technique

2021 ◽  
Vol 6 (1) ◽  
pp. 1336-1340
Author(s):  
Santosh Thapa ◽  
Ranjib Kumar Jha ◽  
Ashish Rajthala
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Distal Humerus ◽  
Plating Technique ◽  
Significant Difference ◽  
Dual Plating ◽  
Humerus Fractures ◽  
Distal Humerus Fractures ◽  
One Year

Introduction: Owing to the complex articular structure, paucity of metaphyseal bone and thin soft tissue covering, treatment of intra-articular distal humerus fractures still pose challenge to surgeons. Although it comprises 2% of all fractures the massive complication rate to the treatment is worrisome. This study aims to evaluate the outcome of surgical treatment of these fractures by open reduction and internal fixation by dual orthogonal plates. Objectives: The objective of the study is to evaluate the functional outcome of intercondylar humerus fractures managed with open reduction and internal fixation with orthogonal dual plating technique. Methodology: Eighteen patients (19 – 68 years old) with AO/OTA type 13C fractures were evaluated after surgery for one year with MEPS and range of motion. Complications were categorized as major or minor complications. Functional comparisons were made between simple articular type C1/C2 and complex articular type C3 fractures at one year. Result: There were 2 (11.11%) type C1 fracture and 8 (44.44%) each in type C2 and C3 fractures. Eight (44.44%) patients obtained excellent, 7 (38.89%) obtained good and 3 (16.7%) obtained fair results. There was no poor outcome. Average MEPS score was 83.33 and there was no significant between the subgroups (p = 0.07). The average flexion was 118.06° and it was significantly impaired in type C3 fractures (p = 0.03). Three patients obtained full extension, and remaining patients had mean extension deficit of 12°. Average arch of motion was 108.06° with significant difference between two subgroups (p = 0.008). The mean arc of motion for supination-pronation was 154.44°. There was 5 minor and 2 major complications (total - 38.9%). Conclusion: The surgical management with open reduction and internal fixation by dual plates in orthogonal configuration for the intercondylar distal humeral AO type C fractures has good or excellent functional outcome in majority of the patients.

scholarly journals Study on functional outcome of intra articular fractures of distal humerus managed by locking compression plate

2021 ◽  
Vol 7 (2) ◽  
pp. 271
Author(s):  
Adarsh Krishna Bhat ◽  
Tigy Thomas Jacob ◽  
Shajimon Sameul
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Distal Humerus ◽  
Open Reduction Internal Fixation ◽  
Non Union ◽  
Medical College ◽  
Articular Fractures ◽  
Locking Compression Plates ◽  
Type C ◽  
Distal Humerus Fractures

<p><strong>Background:</strong> The primary goal in management of intra articular fractures of distal humerus is to achieve stable and mobile elbow. Type C fracture of distal humerus is a relatively uncommon fracture. Internal fixation is difficult but anatomical reduction is needed to prevent poor functional outcome and degenerative changes.</p><p><strong>Methods: </strong>Functional outcome of patients who underwent open reduction internal fixation with locking compression plates for intra articular fractures of distal humerus at the department of orthopedics, Government medical college Kottayam, from December 2017 to July 2019, were assessed using Mayo elbow performance index. A total of 30 patients were studied.</p><p><strong>Results: </strong>Excellent and good results were found in 25 cases, 3 patients had fair outcome and 2 patients had poor result. Complications encountered in our study were, infection (superficial treated with antibiotics-3 cases), heterotopic ossification (3 cases), hard ware prominence (2 cases) and non-union (1 case).</p><p><strong>Conclusions: </strong>Complications were minimal and outcomes were good in patients with type C distal humerus fractures who underwent bicolumn locking compression plates fixation by posterior approach.</p><p class="abstract"> </p>

scholarly journals Bilateral plate fixation for type C distal humerus fractures: experience at a single institution

2010 ◽  
Vol 35 (3) ◽  
pp. 433-438 ◽  
Author(s):  
Shao-hua Li ◽  
Zhen-hua Li ◽  
Zheng-dong Cai ◽  
Yu-chang Zhu ◽  
Yong-zhen Shi ◽  
...  
Keyword(s):  
Plate Fixation ◽  
Distal Humerus ◽  
Single Institution ◽  
Type C ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

Open Reduction and Internal Fixation of Distal Humerus Fractures

2006 ◽  
Vol 7 (1) ◽  
pp. 44-51 ◽  
Author(s):  
Matthew L. Ramsey ◽  
Andrea K. Bratic ◽  
Charles L. Getz ◽  
Pedro K. Beredjiklian
Keyword(s):  
Internal Fixation ◽  
Open Reduction ◽  
Distal Humerus ◽  
Humerus Fractures ◽  
Distal Humerus Fractures

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.

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