2020, Vol. 4 Issue 1, Part B
Background: Distal humerus fractures in adults are relatively uncommon and intra articular injuries amounting to 2 to 6 % of all fractures and 30 % of all elbow fractures. The complex shape of the elbow joint, the adjacent neurovascular structures make these fractures difficult to treat. Open reduction and surgical fixation with plating gives good results. The Aim of our study is to evaluate the functional outcome of intra-articular distal humerus fractures by open reduction and internal fixation using bicolumnar plating technique.
Materials and Methods: A total of 20 intra articular distal humerus fractures were operated between june 2016to June 2019 were included in the study. All patients are above the age of 18 years. All the patients were operated with pre-countered distal humerus locking plates in orthogonal fashion and outcome was measured by MEPS, rate of union, rate of complications and final range of motion.
Results: In our series of 20 cases, there were 14 males and 6 females. 6 cases were due to self-fall, 12 were due to RTA and two due to assault. Out of 20 cases,1 (5%) were of C1 type of fractures, 16(80%) were of C2 and 3 (15%) were of C3 type of fractures. The average duration of the radiological union was 13±04 weeks. Excellent results were seen in 10, good in 6 and fair in 3, and poor in 1, according to MEPS. 2 patients had transient radial neuropraxia and 1 had transient ulnar neuropraxia in early postoperative period.
Conclusion: To get good functional results with good range of movement and fracture union, precise preoperative planning, adequate surgical approach, anatomical inter fragmentary stabilization, Operative treatment with stable anatomical internal fixation gives best chance to achieve good elbow function.