Journal of Orthopedic Research and Therapy (ISSN: 2575-8241)

research article

Radiological and Functional Outcome of Open Reduction and Internal Fixation of Extra Articular Distal Humerus Fracture Using Anatomical Plate

Authors: Hatesh Kumar1, Rajiv V Kulkarni2*, Sushrut Babhulkar3, Anjali Tiwari4

*Corresponding Author: Rajiv V Kulkarni, Department of Orthopedics, BARC Hospital, Chembur, Mumbai, India.

Received Date: 18 November, 2021

Accepted Date: 01 December, 2021

Published Date: 06 December, 2021

Abstract

Introduction: Reliable techniques for the fixation of Extra-Articular Distal Humerus Factures (EADHF) impose a significant challenge among the surgeons. Albeit there has been mounting proposed plate configurations, anatomic plates is an optimal solution for the management of these difficult fractures. The present study was carried to assess the clinico-radiologic outcome of EADHF in our hospital setting. Hypothesis We hypothesized that the use of anatomical plate by triceps splitting posterior approach might result in early union with minimal complications.

Methods: This was a prospective study carried out from November 2016 to November 2018 and patients affected with EADHF were included and managed using anatomical plates. The fractures were approached using triceps splitting posterior methods. The fracture fixation was done using anatomical distal humerus plate. Radiological union and final functional outcome using Mayo Elbow Performance score (MEPS) was evaluated.

Results: A total of 25 patients were recruited and the man age was 38.9 ± 9.6 years. Majority of the patients were AO Type 13- A2 fracture and mean arc of motion was 97.2 ± 21.79°. The mean time to radiological union was 16.7 ± 4.5 weeks (12 to 30) and included one cases of non-union. The average MEPS at final follow up was 82 ± 12.7 and 17 patients’ displayed good results.

Discussion: Using anatomical locking plates with triceps splitting approach provides best visualisation of extra-articular fracture of distal femurs. This method displays stable fixation and early reunion with minimal soft tissue loss and complications.

Keywords: Anatomical plates; Distal humerus; Extra articular fracture; Mayo Elbow Performance score


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