Paratricepital approach for fixation of distal humerus fracture in adults - A good alternative
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 2
Abstract
Objective: Distal humerus fractures most commonly managed by surgical approaches that disrupt the extensor mechanism of elbow. Paratricepital posterior approach for distal humerus fracture fixation done by orthogonal or parallel plate construct. Methods: 30 cases of distal humerus fractures are taken. Bicolumnar fixation done by elevating and retracting the triceps of the distal humerus keeping triceps insertion undisturbed by orthogonal or parallel plate construct. Early active-assisted range of motion initiated within limits of pain. Age group was 15 to 60 years. Among all patients 10% of fractures were Type C1, 6.66% of fractures were Type C2, Type A 50% and Type B fractures is 33.33%.Radiograph (x-ray) and functional evaluation was done by MEPS (Mayo Elbow Performance Score), DASH (Disability of Arm Shoulder and Hand) questionnaire. Results: All thirty fractures healed primarily. The median arc of elbow motion was 1150 (range 700 to 1400) with standard deviation of 1.33. Average score is 91(range 80-105) with standard deviation of 1.66, indicating excellent result. Conclusions: Paratricepital posterior approach results in excellent healing, a mean flexion extensor arc of more than 100 degree, maintenance of almost normal elbow extensor strength. Implication: Paratricepital posterior approach should be considered whenever distal humerus fracture are to be fixed especially in Type A and Type B fractures.
Authors and Affiliations
Dr. Jayanta Mondal, Dr. Chaitanya Krishna, Dr. Ritwik Ganguli, Dr. Kanchan K Sabui
Keywords
Related Articles
- EP ID EP501897
- DOI 10.22271/ortho.2017.v3.i2e.50
- Views 121
- Downloads 0
A prospective study of crossed versus lateral pinning for displaced extension-type supracondylar fractures of humerus
Background: Pediatric age group has the highest incidence of supracondylar fracture of humerus, the most common being the extension type. A precise evaluation and planning is required for deciding the modality of treatme...
A comparative study of plating versus nailing in distal tibia metaphyseal fractures
Background: Distal tibia fractures continue to be one of the most controversial fractures that we treat. The best option for surgical treatment of distal tibia fractures is still unclear. Aim of treating such fracture is...
A retrospective clinical study of volar Barton fractures using t- Elli’s plate and locking distal end radius plate and screws
Aim To evaluate the functional and radiological results of treating unstable volar Barton's fractures of the distal radius with the T-buttress plate and locking plate Methods: This was a retrospective study at our hospit...
Epidemiological study of pelvic fracture in Jabalpur zone of Madhya Pradesh
This is a study of 244 cases of pelvic fracture presented in the selected centers of Jabalpur zone of Madhya Pradesh in the duration of two years from 2011 to 2013. Demographical characteristics of pelvic fractures like...
A randomized controlled study of dynamic compression plate (DCP) versus limited contact dynamic compression plate (LC-DCP) in treatment of forearm bone fractures in adults (age 18-60 years)
Background and objectives: Fracture of forearm bone are one of the most common injuries seen in day to day practice. The forearm, in combination with the proximal and distal radioulnar joints, allows pronation and supina...