Functional outcome of elbow reconstruction after using precontoured Locking Compression Plate
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2014, Vol 26, Issue 01
Abstract
To evaluate the functional outcome of elbow reconstruction after using precontoured LCPs. Material & Method: This retrospective study was conducted between July 2010 and April 2013 on 25 consecutive patients who presented in our department. Osteosynthesis was attempted via transolecranon approach using Chevron osteotomy. Back splints were used for postoperative immobilization for two weeks. Elbow rehabilitation was started at week three followed by functional assessment at three month by using Mayo Elbow Scoring System. Results: Twenty-five patients were included in this study out of 25, 13 were male and 12 females with male to female ratio of 2.14:1. Age ranged from 22 to 75 years and the mean age was 35 years. Most injuries occurred after motorcycle accidents, total 20 RTAs and 5 falls were notified as mechanism of injury. Fifteen patients (60%) were right hand dominant. Union was achieved normally in 21 patients at 12 weeks and remaining 4 patients achieved delayed union at 20 weeks. All the fractures were stable on healing. Maximum extension achieved was 10º. Maximum flexion achieved was 120º, with mean motion arc of 110º. No patient showed loosening of implant or pulling out of screws during follow-up visits, 02 cases required removal of impinging olecranon osteotomy screw and 1 required removal of prominent intercondylar screw. One patient had ulnar nerve neuropraxia, which recovered spontaneously during next 4 months time. Stiffness was seen in one case. The Mayo elbow score turned out to be: Excellent in 12 (48%), Good in 8 (32%), Fair in 3 (12%) and Poor in 2 cases (8%). Conclusions: Complex Intra or extra articular distal humerus fractures are a specialized operative procedure for its management. We found good functional outcome of elbow by using anatomical precontoured locking compression plate.
Authors and Affiliations
Imran Mang, Intikhab Taufiq, Muhammad Kazim Rahim Najjad, Muhammad Noman Iqbal, Summaiya, Noor ul Ain, Aamir Ali Shah
Keywords
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