A Clinical Study To Evaluate Functional Outcome Of Distal Humerus Fractures In Adult Age Group Treated With Different Modalities
Abstract
Introduction: We live in a society with a growing elderly population and a young population inwhich extreme sports and high-speed motor transportation are popular. Therefore the incidence ofdistal humeral fractures is likely to increase. This study evaluates the functional outcome of distalhumeral fractures in adults treated with a different modality.
Material and Method: This was aprospective study that includes 29 cases of distal humerus fractures who were treated surgically at CU Shah Medical College and Hospital, Surendranagar, from June 2018 to June 2020, in which 17were females and 12 were males.
Result: According to Mayo Elbow Performance Index (MEPI)scoring system, we had 18(62.07%) patients with excellent results, 8(27.58%) patients with goodresults, 2(6.9%) patients with the fair result and 1(3.45%) patients with poor outcome.Complications were seen in 15 patients, out of which most common was elbow stiffness seen in 7patients.
Conclusion: Open reduction and internal fixation can be considered as the treatment ofchoice if there is no contraindication for this because it is essential to maintain length, axialalignment, joint congruity and rotational alignment if a good range of motion is to be restored. Thisis achieved in the present study.
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References
2. Buckolz, Court-brown, Heckermen, Tornetta. Rockwood and Green’s Fracture in Adults 7th edition, Volume one. Lippincott Williams & Wilikins.
3. Robert Bucholz, James D. Heckman, Charles Court-Brown. Rockwood and Green’s Fractures in Adults, Vol 1, 6th ed. Lippincott Williams & Wilkins.
4. Lakhey S, Sharma S1, Pradhan RL1, Pandey BK1, Manandhar RR1, Rijal
KP. Osteosynthesis of inter-condylar humerus fracture using bryan and morrey approach. Kathmandu University Medical Journal (2010), Vol. 8, No. 2, Issue 30, 154-157.
5. M Dhawan, VK Nijhawan, SP Mandal, PS Maini. Closed intra- articular fractures of the distal end of the humerus – Operative treatment and results. Indian Journal of Orthopedics Vol. 37, No.3, July 2003.
6. Michael D Mckee, TRACY L. WILSON, LUCY WINSTON, EMIL H. SCHEMITSCH, ROBIN R. RICHARDS. Functional Outcome Following Surgical Treatmentof Intra-Articular Distal Humeral Fractures Through a Posterior Approach. JBJS Vol82 A, No 12, December 2000.
7. Amite Pankaj, G Mallinath, Rajesh Malhotra, Surya Bhan. Surgical management of inter-condylar fractures of the humerus using triceps refl ecting anconeus pedicle (TRAP) approach IJO - July - September 2007 / Volume 41 / Issue 3.
8. Ibomcha Singh, Sanjib Waikhom. Internal fixation of type C fracture of distal humerus. Indian Journal of orthopaedics April 2004 Volume 38 : Number 2 : P. 110-112
9. Joaquin Sanchez-Sotelo, Michael E. Torchia, and Shawn W. O’Driscoll. Complex Distal Humeral Fractures: Internal Fixation with a Principle-Based Parallel-Plate Technique. J Bone Joint Surg Am. 2007;89:961-9
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