A Prospective and Retrospective Study on Functional Outcome Analysis of Distal humerus fractures treated with Locking Compression Plates

Shivakumar, J (2015) A Prospective and Retrospective Study on Functional Outcome Analysis of Distal humerus fractures treated with Locking Compression Plates. Masters thesis, Madras Medical College, Chennai.


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INTRODUCTION: Fractures of the distal humerus accounts for 2-6% of all fractures. Motor vehicle accidents are the major cause of distal humerus fractures in young population whereas simple accidental falls are the cause in elderly population. Composite problems in distal humerus fracture management include frequent articular involvement, metaphyseal communition, bone loss and osteopenia. Attempt to achieve painless stable yet mobile elbow requires a systematic approach. We hereby report the functional outcome of a series of distal humerus fractures with articular extension surgically treated with locking compression plates applied orthogonally. MATERIALS AND METHODS: 15 Patients(9 males, 6 females) with type C distal humeral fractures (C1-5 cases , C2 -8 cases and C3-2 cases ) were operated with locking compression plates applied orthogonally and functional outcome was observed for a mean duration of 8 months. All fractures were closed injuries. Causes were motor vehicle accidents (10 cases) , accidental falls (4 cases) and assault (1 case). They were operated by chevron olecranon osteotomy (9 cases) , paratricipital (4 cases) , TRAP approach (1 case) and triceps splitting approach (1 case).mean duration of fracture healing was 12 weeks. Functional outcomes were assessed by Mayo elbow performance score system (MEPS). RESULTS: Excellent and good results were found in 6 cases each. 2 patients had fair outcome and 1 patient had poor result. Complications encountered in our study were paraesthesia along ulnar nerve distribution(2 cases), infection(superficial treated with antibiotics 2 cases), stiffness, heterotopic ossification(2 cases each) and hard ware prominence(1 case). CONCLUSION: Complications were minimal and outcomes were satisfactory in patients with type C distal humerus fractures who underwent bicolumn locking compression plates fixation applied orthogonally by posterior approach.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Orthogonal plating ; distal humerus ; LCP ; olecranon osteotomy ; modified tension band wiring.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 25 Sep 2017 01:02
Last Modified: 25 Sep 2017 01:02
URI: http://repository-tnmgrmu.ac.in/id/eprint/3303

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