Comparative study between results of orthogonal vs parallel plating in treatment of distal humerus fracture
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 2
Abstract
Background: The study was conducted to evaluate the outcome of the parallel plating system and orthogonal plating system in distal humerus intraarticular fracture Material and Methods: 30 patients of age between 18 to 60 yrs with fracture distal end of humerus with intraarticular extension were evaluated, with the mean age group of 35 for both the plating system to know which plating syatem is better using olecrenon osteotomy approach. Results: The mean union time for orthogonal plating was 9.53 weeks and for parallel plating was 8.93 weeks. The arc of flexion in parallel plating was 119.33 o while that for the orthogonal plating group was 99.66o. Average mayo elbow performance score (MEPS) for the parallel plating was 96.33 and for orthogonal plating was 83. There were 2 case of infection in orthogonal plating group. One case of implant failure noted secondary to infection leading to implant removal in orthogonal plating group. Discussion and Conclusion: The following results were assessed: operating time, arc of flexion and extension, time to fracture union, functional recovery, and complications. In our study Parallel plating group was superior to the orthogonal plating group, in post operative recovery time, early union, and early mobilization, better range of motion and with less complication.
Authors and Affiliations
Kundan Kushwah, Rajeev Y Kelkar, Deepak Singh Rajput
Keywords
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