Outcome analysis of intercondylar humerus fractures treated by locking compression plates

Journal Title: International Journal of Medical Research and Review - Year 2016, Vol 4, Issue 3

Abstract

Background: Distal humeral fractures are uncommon fractures. They occur in both younger as well as older patients. The complex shape of the elbow joint, the adjacent neurovascular structures, the sparse soft tissue cover combine to make treatment difficult. Previous methods of conservative treatment have caused significant functional impairment. Thus the consensus has shifted towards treatment with open reduction and internal fixation so as to provide stability and early mobilization. Different modalities like 1/3rd tubular plate, reconstruction plate, K wires, double tension band wiring have been tried. The quality of elbow function following the treatment is related to the degree to which the normal anatomic relationships are restored. Materials and Methods: 27 patients of Intercondylar Humerus fractures classified by Riseborough & Radin system and treated by ORIF by pre-contoured AO Locking compression plates. Clinical and radiological follow-up performed and patients assessed for pain, range of motion, and Mayo elbow performance score. Results: Average follow up was of 6 months. Average age was 37.5 years (18-62 years). Fracture consolidation observed at an average of 12.8 weeks (10-14 weeks). The outcome was excellent or good in 17 patients. 3 patients had infection, 1 case each of ulnar neuropathy, mal-union and myositis ossificans. There were no cases of implant migration, secondary displacement or implant failure. Conclusion: Anatomically pre-shaped distal humerus locking plate system is useful in providing stable fixation for complex distal articular fracture and facilitating early postoperative rehabilitation. The low rate of implant failure in the present study indicates that the technique is promising.

Authors and Affiliations

Vipendra Singh, Suresh Uikey, Ajit Ganvir, Deepak S. Maravi, Sanjiv Gaur

Keywords

Related Articles

Clinical profile of viral hepatitis in a tertiary health care centre of eastern India

Background: Viral hepatitis is epidemic to developing country like India. Infection with Hepatitis A virus, Hepatitis B virus and Hepatitis C virus is much more important so far as the disease severity, selection of trea...

Histopathological spectrum of lesions of tonsil- A 2 year experience from tertiary care hospital of Maharashtra, India

Background: Palatine tonsils are paired masses of lymphoid tissue which act as immunologic barrier against the entry of pathogenic agents into the respiratory and digestive tracts. Despite their protective function, tons...

Spectrum of MRI findings in traumaticknee

Introduction: Injuries to the intraarticular structures like menisci and cruciate ligaments are diagnosed with high sensitivity and specificity by MRI as compared with arthroscopy, which is still regarded as the gold sta...

Multiple cerebral venous sinus thrombosis in a young male presenting as Status epilepticus

Background: Cerebral venous thrombosis is a disease with multiple etiologies that present with a remarkably wide spectrum of clinical signs and symptoms. Case report: 38 year old male presented to the emergency departmen...

Role of bacterial vaginosis in preterm labor - a prospective study

Objective: To study the incidence of bacterial vaginosis in pregnant women in preterm labor and in labor at term and the relation of bacterial vaginosis with preterm delivery, neonatal birth weight and puerperal sepsis....

Download PDF file
  • EP ID EP228125
  • DOI 10.17511
  • Views 150
  • Downloads 0

How To Cite

Vipendra Singh, Suresh Uikey, Ajit Ganvir, Deepak S. Maravi, Sanjiv Gaur (2016). Outcome analysis of intercondylar humerus fractures treated by locking compression plates. International Journal of Medical Research and Review, 4(3), 414-419. https://europub.co.uk/articles/-A-228125