A prospective study of functional outcome in intraraticular lower end of humerus fracture treated with dual plating
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Lower end of humerus fractures are uncommon and intra-articular in adults, often involve both the medial and lateral columns. Treatment of these fractures is difficult and involves the risk of unfavourable results. Anatomical reconstruction and rigid fixation following early mobilization of the elbow are the prerequisite required for a good clinical outcome. The aim of this study is to evaluate the functional outcome in intra-articular fracture of the lower end of humerus treated with dual plating. Materials and methods: A prospective study of 20 patients of comminuted intra-articular fracture lower end of humerus treated surgically with, dual plating using standard dorsal approach, olecranon osteotomy with a follow up period of 24 months. Results: The average age was between 20 – 54 years, with mean of 37.5 yaers. 16 cases (80%) road traffic accident as major cause of injury. Most of the patients were male 14 (70%) with dominant limb involvement in 14 (70%) cases. According to MEP score clinical outcome was excellent in 4 (25%), good 10 (50%), fair in 5(20 %) and poor in 1 (5 %). Conclusion: Open reduction and internal fixation with dual plating provides reliable, rigid fixation following an early functional mobilization of the elbow joint and acts as an extrameddulary load bearing device, stabilizing fracture fragment and ensuring bony union in fracture lower end of humerus with intraarticular extension.
Authors and Affiliations
GU Kiran, H Shashidhara, J Manjunath, Mk Akshay, Ashrith Muralidhar
Keywords
Related Articles
- EP ID EP496662
- DOI 10.22271/ortho.2017.v3.i3a.09
- Views 123
- Downloads 0
Analgesic effect of intraarticular ropivacaine-morphine combination in anterior cruciate ligament reconstruction patients on postoperative pain: A Randomized Control trial
Background: Arthroscopic ACL reconstruction surgery is commonly performed as an outpatient procedure and is often associated with postoperative pain. Objectives: We aimed to find out the effects of intra-articular ropiva...
Study of fractures treated with anatomical plates in lower limb
Introduction: It is a study of biological plating at various situations. Biological is a least contact plate designed for use in specific anatomical regions such as the proximal & distal femur, proximal & distal tibia. M...
Novel technique of diagnosing and reducing pain in cervical radiculopathy
Background: Neck pain with upper limb pain is a common complaint of patients seen in Out Patient Department (OPD). Such pain may be because of a pinched nerve. There is inflammation in the nerve which causes radicular sy...
Functional outcome of posterior laminectomy in case of cervical myelopathy with multilevel cervical cord compression
Objective: The primary objective is to study the functional outcome of cervical laminectomy with or without instrumentation for cervical myelopathy in case of multilevel cervical cord compression using modified JOA and N...
Incidence of femoro-acetabular impingement in adult Indian population on the basis of specific radiological findings: A prospective study
Introduction: Femoroacetabular impingement is a major cause of early osteoarthritis of the hip, especially in young and active patients. It is characterized by an early pathologic contact during hip joint motion between...