Clinico-radiological Outcome Analysis of Parallel Plating with Perpendicular Plating in Distal Humeral Intra-articular Fractures: Prospective Randomised Study
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 2
Abstract
Introduction: The distal humeral fractures are common fractures of upper limb and are difficult to treat. These fractures, if left untreated or inadequately treated, leads to poor outcomes. Management of distal humeral fractures are pertained to many controversies and one among them is position of plates. Aim: To compare the clinical and radiological outcomes in patients with intra-articular distal humerus fractures, treated using parallel and perpendicular double plating methods. Materials and Methods: A total of 38 patients with distal humerus fractures, 20 in perpendicular plating group (group A) and 18 in parallel plating group (group B), were included in this prospective randomised study. At each follow up patients were evaluated clinically and radiologically for union and the outcomes were measured in terms of Mayo Elbow Performance Score (MEPS) consisting of pain intensity, range of motion, stability and function. MEP score greater than 90 is considered as excellent; Score 75 to 89 is good; Score 60 to 74 is fair and Score less than 60 is poor. Results: In our study, 15 patients (75%) in group A, and 13 patients (72.22%) in group B achieved excellent results. Two patients (10%) in group A and 4 patients (22.22%) in group B attained good results. Complications developed in 2 patients in each groups. No significant differences were found between the clinical outcomes of the two plating methods. Conclusion: Neither of the plating techniques are superior to the other, as inferred from the insignificant differences in bony union, elbow function and complications between the two plating techniques.
Authors and Affiliations
Ramachandran Govindasamy, Vishal Shekhawat, Ramesh Chandra Banshiwal, Rajender Kumar Verma
Keywords
Related Articles
- EP ID EP333116
- DOI 10.7860/JCDR/2017/22262.9423
- Views 115
- Downloads 0
Feasibility and Complications of Spinal Anaesthesia in Percutaneous Nephrolithotomy: Our Experience
Introduction: Percutaneous Nephrolithotomy (PCNL) is the treatment modality used for the extraction of large renal stones, or multiple calculi or stones resistant to shock wave lithotripsy. The General Anaesthesia (GA) i...
Quantifying Serum IL-1β Cut-Off Point for Detecting Cardiovascular Diseases in a Population from Western Maharashtra
Introduction: In India alone in year 2000 there were 30 million people to suffered with Coronary Heart Diseases (CHD). CHD has 3% prevalence and incidence of Heart failure with CHD is about 0.4% to 2.3% per year. There a...
Agreement and Correlation between Arterial and Central Venous Blood Gas Following Coronary Artery Bypass Graft Surgery
Introduction: Arterial blood sampling, used to assess patients in acute conditions, may result in complications such as thrombosis and embolism. However, it can be replaced by venous blood sampling, but there is a dearth...
Evaluation of Greater Sciatic Notch Parameters in Sex Determination of Hip Bone by Three-Dimensional CT Images
ABSTRACT Introduction: Sex determination of an anonymous individual is one of the main objective when human skeletal remains are found, both in forensic investigation and archaeological studies. Aim: To evaluate the role...
Analysis of Exhaled Breath Condensate pH in Asthma among Indian Population: A Pilot Study
ABSTRACT Introduction: Asthma is an inflammatory disorder of lungs and analysis of Exhaled Breath Condensate (EBC) pH may give insights on control of asthma. To the best of our knowledge, this is the first study of EBC p...