Distal third humeri fractures treated using the Synthes™ 3.5-mm extra-articular distal humeral locking compression plate: clinical, radiographic and patient outcome scores

Fawi, Hassan; Lewis, James H.; Rao, Pallavi; Parfitt, Dan E.; Mohanty, Khitish; Ghandour, A.

doi:10.1177/1758573214559320

Cited by 19 publications

(30 citation statements)

References 14 publications

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“…There are three domains which include elbow function, pain, and social-psychological with values ranging from 0 (greatest severity) to 100 (least severity). The OES has been used in trauma populations [23][24][25][26]. It was reported that the OES performed well in assessing elbow surgical outcomes while the DASH was not responsive enough to warrant its exclusive use as an outcome of elbow surgery [27].…”

Section: Discussionmentioning

confidence: 99%

PrEvention of posttraumatic contractuRes with Ketotifen 2 (PERK 2) – protocol for a multicenter randomized clinical trial

Ademola

Hildebrand

Schneider

et al. 2020

BMC Musculoskelet Disord

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Background: Injuries and resulting stiffness around joints, especially the elbow, have huge psychological effects by reducing quality of life through interference with normal daily activities such as feeding, dressing, grooming, and reaching for objects. Over the last several years and through numerous research results, the myofibroblast-mast cellneuropeptide axis of fibrosis had been implicated in post-traumatic joint contractures. Pre-clinical models and a pilot randomized clinical trial (RCT) demonstrated the feasibility and safety of using Ketotifen Fumarate (KF), a mast cell stabilizer to prevent elbow joint contractures. This study aims to evaluate the efficacy of KF in reducing joint contracture severity in adult participants with operately treated elbow fractures and/or dislocations. Methods/design: A Phase III randomized, controlled, double-blinded multicentre trial with 3 parallel groups (KF 2 mg or 5 mg or lactose placebo twice daily orally for 6 weeks). The study population consist of adults who are at least 18 years old and within 7 days of injury. The types of injuries are distal humerus (AO/OTA type 13) and/or proximal ulna and/or proximal radius fractures (AO/OTA type 2 U1 and/or 2R1) and/or elbow dislocations (open fractures with or without nerve injury may be included). A stratified randomization scheme by hospital site will be used to assign eligible participants to the groups in a 1:1:1 ratio. The primary outcome is change in elbow flexionextension range of motion (ROM) arc from baseline to 12 weeks post-randomization. The secondary outcomes are changes in ROM from baseline to 6, 24 & 52 weeks, PROMs at 2, 6, 12, 24 & 52 weeks and impact of KF on safety including serious adverse events and fracture healing. Descriptive analysis for all outcomes will be reported and ANCOVA be used to evaluate the efficacy KF over lactose placebo with respect to the improvement in ROM. Discussion: The results of this study will provide evidence for the use of KF in reducing post-traumatic joint contractures and improving quality of life after joint injuries.

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Section: Discussionmentioning

confidence: 99%

PrEvention of posttraumatic contractuRes with Ketotifen 2 (PERK 2) – protocol for a multicenter randomized clinical trial

Ademola

Hildebrand

Schneider

et al. 2020

BMC Musculoskelet Disord

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“…Similar findings were seen in previous studies where they found that mean operative time and blood loss was less. 9,10 According to Mayo Elbow Performance Score. Score of > 90 was considered as excellent and score of 75-89 was considered as good.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, operative stabilization of these fractures is rational and is favoured by many authors. [5][6][7][8][9][10] Jawa et al 3 11 This index consists of four parts-pain (with a maximum score of 45 points), ulnohumeral motion (20 points), stability (10 points) and the ability to perform five functional tasks (25 points). Present study was conducted to compare single extra articular humerus plating and bipillar plating for distal humerus fracture.…”

Section: Introductionmentioning

confidence: 99%

Untitled

2019

MIJORP

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Background: The management of distal humeral fractures has evolved over the last few years. Various modalities of treatment are non surgical and surgical methods. In this study we compared single extra articular humerus plating and bipillar plating for distal humerus fracture. Aim and objective: To compare single extra articular humerus plating and bipillar plating for distal humerus fracture at tertiary health care centre Methodology: Total 60 patients with distal humerus fracture visiting orthopaedics department of a tertiary care center were included in the study. Patients were grouped into two groups. Group A included humerus fracture treated with single extra articular plating and Group B included patients treated by bipillar plating. Outcome was compared in both the groups with respect to duration of surgery, total blood loss and clinical improvement. Results and discussion: Both the groups were comparable with respect to age and sex (P value >0.05). Mean duration of surgery and Mean operative blood loss was significantly less in Group A than Group B (P<0.05). Mayo Elbow Performance Score, excellent score was seen in 29 patients from group.Radial nerve injury was not observed in any patient.

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“… 15 In another study Synthes® anatomic precontoured 3.5 mm j plate used for fixation of humerus distal 1/3 extraarticular fractures, excellent results were obtained and they reported that there was no loss of fixation or olecranon impingement using this system. 24 The distal part of the distal medial tibia plate used in this study has a cobra shape and offers the possibility of placing 3.5 mm eight screws to the distal part of humerus. The distally extending portion of the implant is compatible with the posterior surface of the humerus, which allows for the placement of bicortical multiple screws in a limited area between the fracture line and the olecranon fossa.…”

Section: Discussionmentioning

confidence: 99%

Distal medial tibial locking plate for fixation of extraarticular distal humeral fractures; an alternative choice for fixation

Yörükoğlu

Demirkan

Büker

2018

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveThe aim of this study was to describe an alternative fixation method for distal humeral extra-articular fractures through posterior approach using distal tibia anatomic locking plate; and to evaluate the patient's functional outcome and union condition.MethodsEighteen patients (11 men and 7 women; average age of 37.0 ± 17.3 years (range: 18–73 years)) with a distal humeral extra-articular fracture who were treated with distal tibial medial locking plate were included into the study. The mean follow up time was 36.2 ± 16.7 (12–57) months. Functional results were evaluated with perception of pain, range of joint motion, grasp and pinch strengths.ResultsUnion was achieved in 17 of 18 patients. Only one patient had non-union due to infection and underwent debridement. The mean time for union was 7.8 ± 5.9 months (2–20). Patient perception of pain was X = 1.88 ± 2.50 and X = 4.55 ± 2.68, respectively, at rest and activity. The active ranges of joint motion were adequate for functional use. General functional state of affected extremity (DASH-T) was perfect (X = 27.14 ± 25.66), the performance of elbow joint was good (X = 84.44 ± 11.57). There were no differences in the comparison of grasp and pinch grip of patients with uninvolved extremity (p > 0.05).ConclusionsIn distal humeral extra-articular fractures, use of distal medial tibia plate has advantages such as providing high rates for union, low rates for complication, and early return to work with early rehabilitation, therefore it may be considered a fixation choice that can be used for distal humeral extra-articular fractures.Level of evidenceLevel IV, therapeutic study.

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Distal third humeri fractures treated using the Synthes™ 3.5-mm extra-articular distal humeral locking compression plate: clinical, radiographic and patient outcome scores

Abstract: The present study reports satisfactory outcome with the usage of the Synthes plate for extra-articular fracture management. It has become the technique of choice in our centre because it provides excellent results.

Cited by 19 publications

References 14 publications

PrEvention of posttraumatic contractuRes with Ketotifen 2 (PERK 2) – protocol for a multicenter randomized clinical trial

PrEvention of posttraumatic contractuRes with Ketotifen 2 (PERK 2) – protocol for a multicenter randomized clinical trial

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Distal medial tibial locking plate for fixation of extraarticular distal humeral fractures; an alternative choice for fixation

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