The authors showed the data of congenital amputation in 36 cases among the physically handicapped individuals (who attended a district level hospital for the purpose of obtaining a handicap certificate) during the period from 1 January 1999 to 31 December 2000.Out of 3,550 individuals, we found 612 with congenital orthopaedic anomalies, which accounted for 17.2%. Of these 612 individuals, we noted 36 cases with congenital amputation (amputation through digits and toes were not included). Both unilateral and bilateral congenital amputations were much more common in the upper extremity as compared to lower extremity. Not a single case of simultaneous upper and lower extremity involvement was seen. The most common transverse deficiency in the upper limb was through the forearm, and in the lower limb it was through the foot. Congenital amputation was common in males with a gender ratio of 3.5:1. Left limb involvement was twice as much as right limb involvement, and it was common in both sexes. Bilateral limb involvement was seen only in males.

BACKGROUND: Intra-articular distal humeral fractures are common, but complex elbow injuries. To obtain good results, anatomical reduction with rigid fixation and early range of mobilization is required. Treatment of these fractures with conventional plates is associated with many complications such as non-anatomic reduction of articular surfaces, malunion, nonunion, loosening of implant, residual stiffness of the elbow and post-traumatic osteoarthrosis. In this situation the application of locking plates having a fixed angle plate screw construct can minimise most of the above complications. OBJECTIVE: To evaluate radiological and functional outcome of locking plate application for the management of intra-articular distal humeral fractures. MATERIAL AND METHODS: This prospective study was conducted from January 2013 to December 2014. We operated 20 patients of AO type-C intra-articular distal humeral fractures. Fracture was exposed using modified Campbell's posterior approach in less comminuted fractures and a V-shaped Olecranon osteotomy was done to get better exposure of the articular surface in cases with severe articular comminution. The fracture was stabilized using an intercondylar screw, pre-contoured locking compression plates and/or locking reconstruction plates as per preoperative planning. Patients were reviewed at monthly interval for clinicalradiological evaluation. Final outcome measures included radiological assessment, range of motion and Mayo elbow performance score (MEPS). RESULTS: All the fractures were united at an average 12 weeks. Two patients developed numbness in the distribution of ulnar nerve and one patient developed superficial infection in immediate postoperative period. None of the patients had malunion and loosening of implant. The average arc of flexion-extension was 105`, although no patient had loss of supination/pronation. Mayo Elbow Performance Score was excellent in 15 (75%), good in 3 (15%), fair in 1 (5%) and poor in 1 (5%). CONCLUSION:The locking plate is a useful implant for the treatment of complete articular (type-c) distal humeral fractures.

No abstract

No abstract

No abstract