Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating
Background: Surgical reconstruction of intra-articular distal humerus fractures imposes a challenge to even experienced surgeons as it is complicated by anatomy of elbow, small area of fixation, associated comminution, and osteopenia of articular surfaces. Single-column plating does not provide stab...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Apollo Medicine |
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| Online Access: | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2018;volume=15;issue=1;spage=15;epage=20;aulast=Kapil |
| _version_ | 1818599698522439680 |
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| author | K C Kapil Mani Parimal Acharya R C Dirgha Raj Arun Sigdel |
| author_facet | K C Kapil Mani Parimal Acharya R C Dirgha Raj Arun Sigdel |
| author_sort | K C Kapil Mani |
| collection | DOAJ |
| description | Background: Surgical reconstruction of intra-articular distal humerus fractures imposes a challenge to even experienced surgeons as it is complicated by anatomy of elbow, small area of fixation, associated comminution, and osteopenia of articular surfaces. Single-column plating does not provide stable construct for comminuted distal humerus fractures as compared to the double-column plating methods. The purpose of this study is to evaluate the functional outcomes, technical difficulties, complications, and patients' satisfactions after orthogonal double plating. Materials and Methods: This was a retrospective analytical study of 54 patients with Type C distal humerus fractures fixed with orthogonal plating from 2012 to 2016. Time to unite the fractures and functional outcomes along with other major and minor complications were noted. Results: Seven (13%) fractures were C1, 12 (22.2%) were C2, and 35 (64.8%) were C3 types according to the AO classification. Major complications were noted in 5 patients and minor complications in 19 patients. Eleven (20.4%) patients were rated as excellent, 33 (61.1%) rated as good, 7 (12.9%) rated as fair, and 3 (5.6%) rated as poor. Mayo Elbow Performance Score in overall patients (n = 54) was 81.62 ± 10.28, C1/C2 subgroup (n = 19) was 89.05 ± 60, and C3 subgroup was 77.60 ± 9.91 (P = 0.627). Similarly, the Disabilities of the Arm Shoulder and Hand Score in overall patients was 17.96 ± 15.67, C1/C2 subgroup was 8.78 ± 7.07, and C3 subgroup was 22.82 ± 16.78 (P = 0.285). Conclusion: Orthogonal dual-plate configurations can provide anatomical reconstruction and stable fixation of Type C intra-articular distal humeral fractures and allow early mobilization of the elbow after surgery; however, a significant number of patients do not satisfy after surgery. |
| first_indexed | 2024-12-16T12:23:44Z |
| format | Article |
| id | doaj.art-a8c2b38729ba475abc6225b7ac6fb55d |
| institution | Directory Open Access Journal |
| issn | 0976-0016 2213-3682 |
| language | English |
| last_indexed | 2024-12-16T12:23:44Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Apollo Medicine |
| spelling | doaj.art-a8c2b38729ba475abc6225b7ac6fb55d2022-12-21T22:31:54ZengWolters Kluwer Medknow PublicationsApollo Medicine0976-00162213-36822018-01-01151152010.4103/am.am_18_17Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double platingK C Kapil ManiParimal AcharyaR C Dirgha RajArun SigdelBackground: Surgical reconstruction of intra-articular distal humerus fractures imposes a challenge to even experienced surgeons as it is complicated by anatomy of elbow, small area of fixation, associated comminution, and osteopenia of articular surfaces. Single-column plating does not provide stable construct for comminuted distal humerus fractures as compared to the double-column plating methods. The purpose of this study is to evaluate the functional outcomes, technical difficulties, complications, and patients' satisfactions after orthogonal double plating. Materials and Methods: This was a retrospective analytical study of 54 patients with Type C distal humerus fractures fixed with orthogonal plating from 2012 to 2016. Time to unite the fractures and functional outcomes along with other major and minor complications were noted. Results: Seven (13%) fractures were C1, 12 (22.2%) were C2, and 35 (64.8%) were C3 types according to the AO classification. Major complications were noted in 5 patients and minor complications in 19 patients. Eleven (20.4%) patients were rated as excellent, 33 (61.1%) rated as good, 7 (12.9%) rated as fair, and 3 (5.6%) rated as poor. Mayo Elbow Performance Score in overall patients (n = 54) was 81.62 ± 10.28, C1/C2 subgroup (n = 19) was 89.05 ± 60, and C3 subgroup was 77.60 ± 9.91 (P = 0.627). Similarly, the Disabilities of the Arm Shoulder and Hand Score in overall patients was 17.96 ± 15.67, C1/C2 subgroup was 8.78 ± 7.07, and C3 subgroup was 22.82 ± 16.78 (P = 0.285). Conclusion: Orthogonal dual-plate configurations can provide anatomical reconstruction and stable fixation of Type C intra-articular distal humeral fractures and allow early mobilization of the elbow after surgery; however, a significant number of patients do not satisfy after surgery.http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2018;volume=15;issue=1;spage=15;epage=20;aulast=Kapilcomplicationdistal humerus fracturesfunctional outcomesorthogonal platingparallel plating |
| spellingShingle | K C Kapil Mani Parimal Acharya R C Dirgha Raj Arun Sigdel Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating Apollo Medicine complication distal humerus fractures functional outcomes orthogonal plating parallel plating |
| title | Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating |
| title_full | Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating |
| title_fullStr | Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating |
| title_full_unstemmed | Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating |
| title_short | Functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating |
| title_sort | functional outcomes of type c distal humerus fractures in adults fixed by orthogonal double plating |
| topic | complication distal humerus fractures functional outcomes orthogonal plating parallel plating |
| url | http://www.apollomedicine.org/article.asp?issn=0976-0016;year=2018;volume=15;issue=1;spage=15;epage=20;aulast=Kapil |
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