Indian Journal of Orthopaedics Surgery


Comparison of outcome of distal humerus fracture: Single extra articular humerus plating versus bipillar plating


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Author Details: Kaushal Anand,Meet Mehta,Jaimin Patel*,Jenti Katariya,Rushik Gandhi

Volume : 4

Issue : 4

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 325

Article End Page : 331


Abstract

Introduction: Distal humerus fractures are complex injuries as their management requires stable fixation and properly working adjoining joints. Management includes open reduction and internal fixation of distal humerus fractures with the use of available implants and their modification. Dual lock plating still has disadvantages of less hardware availability, their cost and also long surgical time wiht extensive soft tissue damage. The mainstay objective of this study is to evaluate the effectiveness and benefits of distal humerus fractures operated by using a single extra articular humerus plating versus bipillar plating.
Aims and Objectives: 1: Evaluation of Clinical and radiological Outcome of single extra articular humerus plating planned for distal humerus fractures. 2: Comparison of clinical outcome of single extra articular humerus plating than the bipillar plating planned for distal humerus fractures.
Materials and Methods: A retrospective clinical study was done on 40 patients with distal humerus fractures treated with single extra articular humerus plating and bipillar plating by trained single surgeon at a tertiary trauma care centre in the Department of Orthopaedics, BJ medical college, Civil hospital Ahmedabad between August 2016 and march 2018. The mean follow-up study time was approximately 13 months.
Observation and Results: All the operated patients were followed up for a mean time of about 13 months (range from 06 to 20 months). Clinical, physiological and ortho-radiological assessment was performed to observe and evaluate fracture stabilization and reduction and fracture healing and callus formation and range of movements. The Mayo Elbow Performance Score and visual analogue scale were used to asses functional outcome.
Conclusion: Proper Reduction with internal fixation still being considered the gold standard for treatment of distal humerus fractures. Extra articular plating however has better good prognostic results than bipillar plating. Early physiotherapy and early use of the elbow could improve the functional success outcome of this type surgery.

Keywords: Distal third humerus fractures, Locking plate, Plating of humerus, Extra-articular fractures of humerus.

Doi :-https://doi.org/10.18231/2395-1362.2018.0064