A study of functional outcome of distal humerus fractures managed by locking compression plate

Dr. CD Deepak, Dr. Shruthikanth S
2018 International Journal of Orthopaedics Sciences  
Fractures of the distal humerus are rare and complex injuries. The complex shape of the elbow joint, the adjacent neurovascular structures, the sparse soft tissue cover combine to make treatment difficult. Distal humerus locking plates provides greater stability by permitting multiple screws in distal fragment there by overcoming some of the limitations of conventional plates. Methodology: 20 patients of distal humerus fractures treated by distal humerus plates with a mean follow up of 6 months
more » ... llow up of 6 months from January 2015 to June 2016 in adichunchanagiri institute of medical sciences and research centre and results were assessed using mayo elbow performance score Results: The sample consisted of twenty patients with 15 males and 05 were female. The patients' ages ranged from 21-70 years with a mean age of 40.25 years. The causes of fractures were motor vehicle accident in 13 patients and fall in 07 patients. There were no sports or industrial accidents. 12 fractures involved the left side and 08 involved the right. The average number of days from injury to surgery was 3.2 days with a range of 1 to 06 days. The operative time ranged from 60 minutes to 150 minutes. Patients were followed up for 6 months. 2 patients had elbow stiffness, 1 case each of ulnar neuropathy, and superficial infection. Conclusion: We conclude that anatomically pre-shaped distal humerus locking plate system gives promising results in terms of functional outcome, range of movement and stability of the elbow by providing stable fixation for complex distal articular fracture and facilitating early postoperative rehabilitation.
doi:10.22271/ortho.2018.v4.i4g.63 fatcat:wi74f6uh4bcnjmxfl6fxzvcadq