Functional outcome of distal humerus fractures treated with an extensor mechanism sparing Paratricipital approach
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 2
Abstract
Background: Management of distal humerus fracture in adult often poses a challenge to even the most experienced surgeon. The paratricipital approach have several advantages, complications of olecranon osteotomy can be avoided, triceps tendon insertion not disrupted, allows early range of motion. Aim: To evaluate the functional outcome of fracture of distal humerus in adults by extensor mechanism sparing paratricipital approach. Material and Methods: A hospital based prospective study was done with 30 patients of fracture of distal humerus in adults treated with open reduction and internal fixation with bicolumnar plating by extensor mechanism sparing paratricipital approach. Patients were followed up post-operatively at 1 month, 2 months, 6 months after treatment and were evaluated clinically by Mayo Elbow Performance Score. Results: The mean range of motion was improved over 6 months follow up. At the end of 6 month follow up as per Mayo Elbow Performance Score, excellent result was found in 26 patients, good result in 3 patient and fair in one patient. Using Mayo elbow score we had more than 96% excellent to good results with mean score of 95.46. Conclusion: Extensor Mechanism sparing paratricipital approach preserves triceps and extensor mechanism thus it helps in early mobilization gives better functional range of motion and therefore better functional outcome.
Authors and Affiliations
Rajesh K Ambulgekar, Kapil R Saoji
Keywords
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- EP ID EP539092
- DOI 10.26611/1020922
- Views 93
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