scholarly journals Double Tension Band Osteosynthesis in Intra-articular Fractures of the Distal Humerus (AO type C) in Elderly Osteoporotic Patients

2013 ◽  
Vol 16 (1) ◽  
pp. 33-39 ◽  
Author(s):  
Sang Jin Cheon ◽  
Dong Ho Lee ◽  
Tae Sik Goh
Keyword(s):  
Distal Humerus ◽  
Tension Band ◽  
Articular Fractures ◽  
Type C

Operative treatment of type C intra-articular fractures of the distal humerus: the role of stability achieved at surgery on final outcome

Injury ◽  
1995 ◽  
Vol 26 (3) ◽  
pp. 169-173 ◽  
Author(s):  
N. Papaioannou ◽  
G.Ch. Babis ◽  
J. Kalavritinos ◽  
Th. Pantazopoulos
Keyword(s):  
Operative Treatment ◽  
Distal Humerus ◽  
Final Outcome ◽  
Articular Fractures ◽  
Type C

scholarly journals Comparison of olecranon fixation techniques following transolecranon approach in intra-articular fractures of distal humerus in adult patients

2019 ◽  
Vol 27 (1) ◽  
pp. 33-39
Author(s):  
Halil Ibrahim Ocalan ◽  
Ozgun Karakus ◽  
Gunhan Karakurum
Keyword(s):  
Functional Outcomes ◽  
Screw Fixation ◽  
Distal Humerus ◽  
Tension Band ◽  
Cancellous Screw ◽  
Articular Fractures ◽  
Fixation Techniques ◽  
Olecranon Fixation ◽  
Technical Principles ◽  
Tension Band Technique

Background: In this study, we assessed functional outcomes among olecranon fixation techniques used following transolecranon approach in patients with comminuted fracture of distal humerus. Methods: The study included 37 elbows that underwent olecranon osteotomy due to distal humerus fracture. Functional outcomes were assessed among patients who underwent fixation via tension band technique, plate, or screw fixation. Results: The implant irritation was seen in 18% of patients who underwent K-wire plus tension band fixation, in 75% of patients who underwent olecranon plate plus screw fixation, and in 18% of patients who underwent cancellous screw fixation. The rate for implant removal was 2.6 folds lower in K-wire plus tension band fixation when compared to olecranon plate plus screw fixation. Conclusion: We concluded that K-wire plus tension band technique and cancellous screw fixation performed in accordance with technical principles caused less skin problem when compared to other techniques. In olecranon fixation, both methods with enhanced stability by tension band can be preferred.

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

scholarly journals Double tension band osteosynthesis in transverse supracondylar distal humerus fractures and nonunions

2012 ◽  
Vol 36 (12) ◽  
pp. 2565-2569 ◽  
Author(s):  
Christian Allende ◽  
Natalia Gutierrez ◽  
Ignacio Fernandez Savoy ◽  
Bartolome T. Allende
Keyword(s):  
Distal Humerus ◽  
Tension Band ◽  
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.

scholarly journals THE TREATMENT OF EXTRA- AND INTRA-ARTICULAR FRACTURES THE DISTAL HUMERUS

2010 ◽  
Vol 16 (3) ◽  
pp. 96-102
Author(s):  
V. V. Klyuchevsky ◽  
Hassan Ben El Hafi
Keyword(s):  
Soft Tissues ◽  
Functional Results ◽  
Distal Humerus ◽  
Distal Segment ◽  
Rigid Fixation ◽  
Performance Score ◽  
Mayo Elbow Performance Score ◽  
Articular Fractures ◽  
Active Mobilization ◽  
Violent Acts

From 2005 to 2009 we treated 112 patients with fractures of distal segment of the humerus, 83 (74,10%) of them were injured when falling from the height of its own growth, 8 (7,14%) - in an accident, 6 (5,35%) - a fall from a height, 13 (11,6%) - in sports, and two - as a result of violent acts. In 97 (87%) cases the fractures were closed, in 15 (13%) - open. 19 patients were treated conservatively and 93 - operatively. Functional results were evaluated using the Mayo elbow performance score (MEPS) in 78,37% of patients. Results of the conservative method: excellent and good - 46,66%, and in all patients with type A without displacement - in 100%. The fair results - in 33% and the poor in 20% - with type В and C. The results of operative treatment: excellent and good - 90,41%, the fair results - in 9,58%, no poor results. Initial prevent the oedema and bleeding into joints and soft tissues, adequate rigid fixation of fractures with the maximal restoration of the elbow joint congruent without additional immobilization and early active mobilization is essential to prevent the elbow stiffness and achieve a good outcomes.

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