To study the outcome of intercondylar fractures of distal humerus using dual plating and its functional outcome
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 4
Abstract
Introduction: Distal humeral fractures account for approximately 2%–6% of all fractures and for approximately 30% of all elbow fractures [1]. The complex anatomy of the distal end of the humerus, with its unique orientation of articular surfaces supported by a meager amount of cancellous bone, makes its fracture a constant challenge to orthopaedic surgeons [2]. Materials and Methods: A prospective study was conducted in Tertiary hospital for a period of 1 year. We studied 25 consecutive patients with distal humerus intercondylar (AO Type C) fracture, included in study as per inclusion criteria. Discussion: Regardless of the method of treatment, substantial damage to the distal humerus usually results in some limitation of motion, pain, weakness, and possibly instability. Even minor irregularities of the joint surface of the elbow usually cause some loss of function. This can usually be minimized by early, accurate open reduction with sufficiently rigid fixation to permit immediate motion. Conclusion: Delay in open reduction internal fixation with delayed soft tissue dissection leads to increased chances of elbow stiffness due to periarticular fibrosis. Use of conventional plates will suffice and more importance should be given to achieve good intercondylar reduction and pillar reconstruction.
Authors and Affiliations
Dr. Vikrant Kulkarni, Dr. Ullas Mahesh, Dr. Mithun S Jumani, Dr Kirthi Shivalingaiah, Dr. Hareesha YS, Dr. Ammar Qureshi
Keywords
Related Articles
- EP ID EP482533
- DOI 10.22271/ortho.2017.v3.i4h.79
- Views 105
- Downloads 0
Evaluation of the carrying angle of the elbow joint in children’s and adolescents and its correlation with various parameters
Background: The carrying angle is acute angle between median axis of the upper arm with fully extended and supinated forearm. It is important to know the carrying angles of both elbows in the evaluation of deformities ar...
Comparative study to evaluate the results of short proximal femoral nail and proximal femoral antirotation 2 in unstable intertrochanteric fractures in elderly
Introduction: Intertrochanteric fractures are common osteoporotic fractures in adults above 70 years with high mortality and morbidity if not adequately treated. Common techniques for fixation of intertrochanteric fractu...
Effect of distraction osteogenesis in patient with tibial shortening after initial union of congenital pseudarthrosis of the tibia (CPT)
Background: This is a Retrospective study which was conducted with the purpose of evaluating the preliminary result of distraction osteogenesis in patients with tibial shortening after initial union of Congenital Pseudar...
A study of the functional outcome of ipsilateral fracture of femur and tibia
Background: This study evaluated the functional outcome of ipsilateral fracture of femur and tibia. Materials and Methods: 30 cases were studied. Fracture types were classified according to Fraser classification into Typ...
Clinical and functional outcome of proximal femoral nailing in unstable intertrochanteric fractures
The objective of this study was to assess the clinical and functional outcome of proximal femoral nailing in 40 patients who had attended our institution, Government medical college Kozhikode between January 2015 and Jan...