Complications of distal humerus fractures treated with open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approach
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 2
Abstract
Background: Distal articular humerus fractures when managed conservatively has high chances of incongruous joint, non-union, malunion, and stiff elbow. The paratricipital approach have several advantages but it has disadvantage also. Aim: To evaluate the complications of fracture of distal humerus in adults treated with open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approach. Material and Methods: A total of 30 patients with distal end humerus fracture were treated with open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approach and followed up for complications. Results: Complications occurred in 6 patients (20%). Three patients had stiffness (elbow ROM <1000) but all had functional range of motion. Two patients had superficial infection which was subsided with oral antibiotics. One patient had screw loosening and back out. Conclusion: Open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approachavoids complications associated witholecranon osteotomy. It gives in excellent healing and better outcome.
Authors and Affiliations
Rajesh K Ambulgekar, Kapil R Saoji
Keywords
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- EP ID EP539103
- DOI 10.26611/1020923
- Views 51
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