Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation

Abstract Background To evaluate the difference of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus after open reduction and internal fixation. Methods We retrospectively analyzed the clinical data of patients with OTA/AO-C distal...

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Autores principales: Chen Chen, Dan Xiao, Ting Li, Maoqi Gong, Yejun Zha, Kehan Hua, Weitong Sun, Shangwei Ji, Xieyuan Jiang
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Publicado: BMC 2021
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spelling oai:doaj.org-article:9a5ef177cc5740da831e7fb03504a2d02021-11-14T12:28:22ZComparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation10.1186/s12891-021-04817-11471-2474https://doaj.org/article/9a5ef177cc5740da831e7fb03504a2d02021-11-01T00:00:00Zhttps://doi.org/10.1186/s12891-021-04817-1https://doaj.org/toc/1471-2474Abstract Background To evaluate the difference of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus after open reduction and internal fixation. Methods We retrospectively analyzed the clinical data of patients with OTA/AO-C distal humerus fractures who were treated in our department from January 2014 to December 2016. The patients were divided into an open fracture group and a closed fracture group. Their baseline characteristics and functional outcomes were analyzed and compared. Results A total of 64 patients treated by operative fixation were identified (25 open and 39 closed injuries), and the average follow-up time was 35.1 ± 13.6 months. There were no significant differences in the range of motion (ROM) of the elbow, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder and Hand (DASH) score, complications, hospitalization time, operation time, intraoperative blood loss, or medical costs between the two groups (P > 0.05). Conclusion OTA/AO type C, Gustilo I/II distal humeral open fractures can yield satisfactory clinical results similar to those of closed distal humeral fractures after open reduction and internal fixation. Level of evidence Therapeutic Level III; Retrospective Cohort Comparison; Treatment Study.Chen ChenDan XiaoTing LiMaoqi GongYejun ZhaKehan HuaWeitong SunShangwei JiXieyuan JiangBMCarticleOpen fractureGustilo type I/IIDistal humeral fractureOpen reduction and internal fixationDiseases of the musculoskeletal systemRC925-935ENBMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-7 (2021)
institution DOAJ
collection DOAJ
language EN
topic Open fracture
Gustilo type I/II
Distal humeral fracture
Open reduction and internal fixation
Diseases of the musculoskeletal system
RC925-935
spellingShingle Open fracture
Gustilo type I/II
Distal humeral fracture
Open reduction and internal fixation
Diseases of the musculoskeletal system
RC925-935
Chen Chen
Dan Xiao
Ting Li
Maoqi Gong
Yejun Zha
Kehan Hua
Weitong Sun
Shangwei Ji
Xieyuan Jiang
Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
description Abstract Background To evaluate the difference of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus after open reduction and internal fixation. Methods We retrospectively analyzed the clinical data of patients with OTA/AO-C distal humerus fractures who were treated in our department from January 2014 to December 2016. The patients were divided into an open fracture group and a closed fracture group. Their baseline characteristics and functional outcomes were analyzed and compared. Results A total of 64 patients treated by operative fixation were identified (25 open and 39 closed injuries), and the average follow-up time was 35.1 ± 13.6 months. There were no significant differences in the range of motion (ROM) of the elbow, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder and Hand (DASH) score, complications, hospitalization time, operation time, intraoperative blood loss, or medical costs between the two groups (P > 0.05). Conclusion OTA/AO type C, Gustilo I/II distal humeral open fractures can yield satisfactory clinical results similar to those of closed distal humeral fractures after open reduction and internal fixation. Level of evidence Therapeutic Level III; Retrospective Cohort Comparison; Treatment Study.
format article
author Chen Chen
Dan Xiao
Ting Li
Maoqi Gong
Yejun Zha
Kehan Hua
Weitong Sun
Shangwei Ji
Xieyuan Jiang
author_facet Chen Chen
Dan Xiao
Ting Li
Maoqi Gong
Yejun Zha
Kehan Hua
Weitong Sun
Shangwei Ji
Xieyuan Jiang
author_sort Chen Chen
title Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
title_short Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
title_full Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
title_fullStr Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
title_full_unstemmed Comparative study of functional outcomes between OTA/AO type C, Gustilo type I/II open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
title_sort comparative study of functional outcomes between ota/ao type c, gustilo type i/ii open fractures and closed fractures of the distal humerus treated by open reduction and internal fixation
publisher BMC
publishDate 2021
url https://doaj.org/article/9a5ef177cc5740da831e7fb03504a2d0
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