Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study
Introduction: The optimal method for fixation of extra-articular distal humerus fractures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates (EADHPs) have emerged as a viable solution for these complex i...
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Wolters Kluwer Medknow Publications
2021
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oai:doaj.org-article:45000340d88842d9b238109a005420f82021-11-19T12:15:53ZFunctional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study0975-740610.4103/jpbs.jpbs_263_21https://doaj.org/article/45000340d88842d9b238109a005420f82021-01-01T00:00:00Zhttp://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1483;epage=1487;aulast=Guptahttps://doaj.org/toc/0975-7406Introduction: The optimal method for fixation of extra-articular distal humerus fractures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates (EADHPs) have emerged as a viable solution for these complex injuries. We assessed functional and radiologic outcomes in our retrospective case series of extra-articular distal humerus fractures managed with these plates at different centers in Cuttack, Odisha. Materials and Methods: One hundred and ten patients of extra-articular distal humerus fractures, who were operated at various trauma centers between January 2012 and December 2020, were identified. After exclusion, 100 patients were available for the final assessment. All patients were operated with the triceps-reflecting modified posterior approach. Regular functional–radiologic follow-up was done evaluating elbow functionality, fracture union, secondary displacement, nonunion, implant failure, and any complications; Mayo Elbow Performance Score (MEPS) was used for the final functional assessment. Results: Sixty-seven percent of male and 33% of female patients constituted the study group, who had an average follow-up of 18 months. Preoperatively three patients and postoperatively one patient had radial nerve palsy; all had neurapraxia and recovered completely. Overall, 95% of patients were adjudged to have complete radiological union within 3 months; 6% of patients developed nonunion. The mean flexion achieved was 123 + 22, and the mean extension was 4.031 + 6.50; five patients with head injury developed flexion deformity of 45. The average MEPS at the final follow-up was 91 + 9.8. Conclusion: Stable reconstruction and early initiation of physiotherapy are utilitarian to envision optimal outcome; the use of precontoured EADHPs has yielded satisfactory results with minimal complications in our hands.Ashis Kumar GuptaBarada Prasanna SamalTushar Ranjan DaleiWolters Kluwer Medknow Publicationsarticledistal humerusextra-articularfracturelocking plateoutcomePharmacy and materia medicaRS1-441Analytical chemistryQD71-142ENJournal of Pharmacy and Bioallied Sciences, Vol 13, Iss 6, Pp 1483-1487 (2021) |
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distal humerus extra-articular fracture locking plate outcome Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142 |
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distal humerus extra-articular fracture locking plate outcome Pharmacy and materia medica RS1-441 Analytical chemistry QD71-142 Ashis Kumar Gupta Barada Prasanna Samal Tushar Ranjan Dalei Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study |
| description |
Introduction: The optimal method for fixation of extra-articular distal humerus fractures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates (EADHPs) have emerged as a viable solution for these complex injuries. We assessed functional and radiologic outcomes in our retrospective case series of extra-articular distal humerus fractures managed with these plates at different centers in Cuttack, Odisha. Materials and Methods: One hundred and ten patients of extra-articular distal humerus fractures, who were operated at various trauma centers between January 2012 and December 2020, were identified. After exclusion, 100 patients were available for the final assessment. All patients were operated with the triceps-reflecting modified posterior approach. Regular functional–radiologic follow-up was done evaluating elbow functionality, fracture union, secondary displacement, nonunion, implant failure, and any complications; Mayo Elbow Performance Score (MEPS) was used for the final functional assessment. Results: Sixty-seven percent of male and 33% of female patients constituted the study group, who had an average follow-up of 18 months. Preoperatively three patients and postoperatively one patient had radial nerve palsy; all had neurapraxia and recovered completely. Overall, 95% of patients were adjudged to have complete radiological union within 3 months; 6% of patients developed nonunion. The mean flexion achieved was 123 + 22, and the mean extension was 4.031 + 6.50; five patients with head injury developed flexion deformity of 45. The average MEPS at the final follow-up was 91 + 9.8. Conclusion: Stable reconstruction and early initiation of physiotherapy are utilitarian to envision optimal outcome; the use of precontoured EADHPs has yielded satisfactory results with minimal complications in our hands. |
| format |
article |
| author |
Ashis Kumar Gupta Barada Prasanna Samal Tushar Ranjan Dalei |
| author_facet |
Ashis Kumar Gupta Barada Prasanna Samal Tushar Ranjan Dalei |
| author_sort |
Ashis Kumar Gupta |
| title |
Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study |
| title_short |
Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study |
| title_full |
Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study |
| title_fullStr |
Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study |
| title_full_unstemmed |
Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study |
| title_sort |
functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: a multicentric retrospective study |
| publisher |
Wolters Kluwer Medknow Publications |
| publishDate |
2021 |
| url |
https://doaj.org/article/45000340d88842d9b238109a005420f8 |
| work_keys_str_mv |
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| _version_ |
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