Evaluation of Functional Outcomes of Intra-articular Fractures of Distal Humerus by Open Reduction and Internal Fixation
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 5
Abstract
ABSTRACT Introduction: Different points of view exist regarding choice of surgical approach and of implants in management of distal humerus intra-articular fractures. The results of open reduction and internal fixation of these fractures are variable in terms of functional outcome. Aim: To evaluation of results of surgical fixation of intra-articular distal humeral fractures with Arbeitsgemeinschaft fur Osteosynthesefragen (AO) reconstruction plates in terms of functional outcome. Materials and Methods: A total of 20 patients with intra-articular fractures of distal humerus were operated with open reduction and internal fixation using olecranon osteotomy approach. Provisional fixation was done with K-wires. Inter-fragmentary compression was given with 4.0 mm cancellous lag screw and definitive fixation was done using 3.5 mm AO reconstruction plates and one third tubular plates. K-wire and tension band wiring fixation were used for osteotomy. Results: Approximately 90% cases were inter-condylar type C fractures. The average elbow flexion achieved at final follow up was 110.25°. Approximately 75% patients showed excellent or good results based on clinical, radiological evidence of union and functional outcome which was assessed using Mayo Elbow Performance Index Score (MEPIS). Average MEPI score in this study was 86.0, based on points assigned to Pain, Motion, Stability and Function. Conclusion: Open reduction and internal fixation of distal humerus fractures gives good results after restoration of complex geometry of condyles and shaft in all three planes. The AO reconstruction plates and one third tubular plates were found to be very effective and useful in treatment of adult distal humerus intra articular fractures with good functional outcome.
Authors and Affiliations
Gokul Chand Verma, Sarita Jilowa, Jitendra Singh, Dinesh Rathi
Keywords
Related Articles
- EP ID EP523887
- DOI 10.7860/JCDR/2018/32802.11489
- Views 91
- Downloads 0
Pancreatic Head Hydatid Cyst Masquerading Cystic Pancreatic Neoplasm in a Young Female
Hydatid Cyst (HC) disease is a zoonotic infection caused by larval stage of Echinococcus granulosus. The disease poses an important public health hazard not only because it is endemic to many parts of the world but also...
Effect of Spinal Manipulation on Pain Sensitivity, Postural Sway, and Health-related Quality of Life among Patients with Non-specific Chronic Low Back Pain: A Randomised Control Trial
ABSTRACT Introduction: Spinal manipulation is a technique of specific directed manual thrust which has been effective in aligning a spinal segment, maintaining normal range of motion and reducing pain. Recent studies hav...
A Case Series of Young Patients with Completely Reversed Severe Pulmonary Hypertension
Pulmonary Arterial Hypertension (PAH) is a progressive symptomatic disorder, which may ultimately lead to death if left untreated. Although majority of PAH cases are idiopathic, pulmonary hypertension resulting due to ce...
Low Level Laser as a Therapeutic Alternative in Treatment of Oral Lichen Planus- Review of Literature
Abstract Oral Lichen Planus (OLP) is a chronic mucocutaneous disease having oral and systemic manifestations. Topical Steroids are the first line of treatment in OLP. Adjuncts like retinoids, placental extracts, immunomo...
Paediatric Post-Traumatic Bladder Neck Distraction Injury: Case Series
The bladder neck distraction is a rare posterior urethral injury in paediatric age group. It mostly occurs secondary to road traffic accidents. We report three cases of paediatric bladder neck distraction injury. Three p...