Comparission Of Functional Results Between Parallel And Orthogonal Plating In The Management Of Distal Humerus Fracture (Ao Type –C)
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 11
Abstract
Study Design: Prospective study. Purpose: The objective of our study was to compare functional results between parallel and orthogonal plating in the management of distal humerus fracture (AO Type –C) Methods: 40 patients with distal humerus fracture were included in the study out of which 19 patients were treated with parallel plating (group I) and 21 patients were treated with orthogonal plating (group II) between September 2012 to May 2014 at S.S Hospital, IMS, BHU. Clinical and radiological evaluations were performed regularly at 2 weeks, 1 month, 3 months, 6 months, 1 year, and then at 6-month intervals. Standard anteroposterior and lateral radiographs were obtained. The Mayo Elbow Performance Score (MEPS) was used to determine functional results of the elbow 1 year after the operation. Results: In group I, The mean elbow flexion was 117.375.81 (range, 110°–130°) and the mean elbow extension was 13.372.40 (range, 0°–18°).. The mean MEPS was 89.894.34 points (range, 72-98 points). Twelve cases were rated excellent, five cases were rated good, and two cases were rated fair. The rate of excellent and good results was 89.47% (17/19). In group II, The mean elbow flexion was 112.679.43 (range, 90°–135°) and mean elbow extension was 12.102.04 (range, 0°–30°).and the mean MEPS was 88.007.04 points (range, 70–98 points). Thirteen cases had results rated as excellent, five cases were rated as good, and three cases were rated as fair. The rate of excellent and good results was 85.7% (18/21). Conclusions: Parallel plating method scored better than orthogonal plating method with respect to bone union time, mean flexion arc, mean extension arc, MEPS score although the differences are not statistically significant. In parallel plating method the operative time and blood loss having greater values with respect to orthogonal plating method (values are statistically significant).
Authors and Affiliations
Dr Samrat Smrutiranjan Sahoo, Dr Saurabh Singh, Dr Hemant Bansal, Dr Utkrisht Mandot, Dr Ajay Kumar Mishra
Keywords
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- EP ID EP406786
- DOI 10.9790/0853-1711018086.
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