Bicolumnar 90–90 plating of AO 13C type fractures

Abstract

ObjectiveThe aim of this study was to evaluate functional results and complication rate of patients who underwent medial-dorsolateral plating for intra-articular distal humeral fracture (Müller AO type 13C).MethodsTwenty-four patients (14 men, 10 women; mean age: 47 years) with AO type 13C distal humerus fracture were included in the study. Mean follow-up time was 28 months. Nine patients were in 13C1 subgroup, according to AO classification system, 11 patients were categorized as 13C2, and 4 patients were 13C3. Final follow-up assessment of outcomes included Broberg and Morrey radiological criteria; Mayo Elbow Performance Score, disabilities of the Arm, Shoulder and Hand (DASH) Outcome Measure, score based on Jupiter criteria; and range of motion (ROM) values.ResultsThe mean carrying angle of operated elbows was 11.37° (range: 0-20°). According to Broberg and Morrey radiological criteria, 14 patients, had radiologically normal elbow, 4 patients had mild change, 3 patients had moderate change, and 3 patients had severe radiological change. Mean DASH score was 21.91 (range: 0-50), and mean Mayo rating was 83.37 (range: 55-100). Jupiter criteria evaluation revealed excellent results in 10 cases, good in 12, and fair results in 2. One patient with fair result had open fracture, and the other had previous hemiparesis in the same extremity. There was no instance of nonunion observed at follow-up.ConclusionOsteosynthesis with medial-dorsolateral plating is a safe and effective method for the treatment of intra-articular fractures of distal humerus.Level of evidenceLevel IV, Therapeutic study.

Triceps Split: A Safe and Useful Approach for Distal Humeral Fractures

“…We found a very high union rate, 98%, with parallel plating. Previous studies have reported a union rate between 87% and 100% [1,15,20,21,[33][34][35][36][37][38][39]. The functional outcomes were good and the majority of patients (75%) ended up in the categories good or excellent according to the MEPS.…”

Functional results of AO 13C fractures managed with bicolumnar plating in a tertiary care centre of North India

“…We also had 2 cases of non-union of olecranon osteotomy which is not in line with studies of Coles et al and Kural et al who have stated 100% union rates of olecranon osteotomy. 10,11 Khalid et al concluded that olecranon osteotomy approach is more effective and preferable to triceps sparing approach. 12 Many studies have evaluated the functional outcome of total elbow arthroplasty and claimed it to be a better option mainly in the elderly age group.…”

Comment on: “Bicolumnar 90-90 plating of AO 13C Type fractures”

“…entitled “Bicolumnar 90–90 plating of AO 13C Type Fractures”. 1 The objective of the study is noteworthy, and we would like to make a few comments about the report.…”