Functional results of the parallel-plate technique for complex distal humerus fractures

Atalar, Ata Can; Demirhan, Mehmet; Salduz, Ahmet; Kılıçoğlu, Önder; Seyahi, Aksel

doi:10.3944/aott.2009.021

Cited by 44 publications

(40 citation statements)

References 18 publications

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“…Similar results have been recently reported with the use of precontoured LCP by other authors [17][18] . In our study, average time interval between admission of patients and surgery was 7.8 days (Ranged 4 -13 days) which is slightly higher than in the studies reported by Atalar et al (2009) 6 days [19] . The average time to union in our study was 13.8 weeks (Ranged 12-18 weeks) which was slightly greater than as reported by Pankaj et al (2007) 12.8 weeks [20] but was less than in study reported by Georgiades et al (2010) 16 weeks [9] .…”

Section: Discussioncontrasting

confidence: 52%

Outcome of management of distal humerus fractures by locking compression plate

Gupta¹,

Rani²,

Rajkumar³

et al. 2017

Int. J. Orthop. Sci.

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Background: Distal humerus fracture is one of the commonest fractures among young adults and which accounts for about 30% of all elbow fractures. The treatment of these fractures continues to the challenges for orthopedics despite of many advances in technique and implants. Different modalities like 1/3rd tubular plate, reconstruction plate, K wires, double tension band wiring, etc, have been tried. The new distal humerus locking compression plate (LCP) system allows angular stable fixation of these complex fractures with anatomically pre-shaped plates. Aims: Aim of this study is to assess the benefits of using locking compression plate (LCP) in the management of distal humerus fractures clinically and as well as functionally. Materials and Methods: A prospective study of 30 adult patients with closed distal humerus fractures were treated by locking compression plate in the department of Orthopaedics, RIMS, Ranchi, between June 2014 to Sep 2015. Variables of each patient were recorded and analysed with respect to age, sex, fracture type, mode of injury, limb involvement, associated injuries, timing and duration of operation, duration of hospital stay, follow up, complications and final outcomes. These patients were followed up at different intervals i.e. at 3 weeks for first 3 months, then at 6-weeks interval for next 6 months and then at 3-month interval. Results: The average age was 38.5 years and majority patients were men (60%). The right humerus was involved in majority (70%) of patients. The complete union was achieved in all patients which was confirmed by radiographically. Average time interval between admission of patients and surgery was 7.8 days (range 4-13 days). The average operative time was 82 minutes (range 70-100 min). All the fractures as well as the olecranon osteotomies united at 12-18 weeks (average 13.80 weeks). There were no any case of primary malposition or secondary dislocation was observed. Using the Mayo elbow performance score, the majority (53.33%) of patients were graded as excellent. There was no any patient reported with deep infection, implant failure, non-union of fracture site or olecranon osteotomy site. There were only three patients those reported superficial wound infection, which was treated with antiseptic dressing and antibiotics. Transient ulnar nerve palsy developed in only 2 (6.66%) cases and both were recovered with conservative treatment. Conclusion: Findings can be concluding that the treatment of distal humerus fractures is a challenging task. Anatomically pre-shaped distal humeral locking compression plate system facilitates operative reduction and stabilization of the fracture and may allow with good range of motion, and flexion and extension force.

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Section: Discussioncontrasting

confidence: 52%

Outcome of management of distal humerus fractures by locking compression plate

Gupta¹,

Rani²,

Rajkumar³

et al. 2017

Int. J. Orthop. Sci.

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“…[13] On the other hand, delayed union, nonunion, necessity of implant use to repair osteotomy, and prominent hardware that leads to a second surgery are among the disadvantages. [7][8][9]14,15,23,24] Furthermore, nerve supplies of the anconeus muscle might be damaged, as this muscle participates in the dynamic stabilization of the elbow joint, this may cause elbow instability. [23] Wilkinson et al [13] have compared the triceps split, TRAP, and olecranon osteotomy techniques in a cadaveric study.…”

Section: Discussionmentioning

confidence: 99%

“…[23,24] Perfect exposure of the fracture is a key factor that allows restoration of articular surfaces. Thus, many approaches were defined, such as olecranon osteotomy, triceps reflecting, triceps splitting, and TRAP approaches.…”

Section: Discussionmentioning

confidence: 99%

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

Azboy¹

2015

Ulus Travma Acil Cerrahi Derg

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“…Parallel plating of comminuted distal humerus fractures was reported by few authors. Atalar AC et al [8] evaluated 21 such cases. All fractures were united and the average MEPS score was 86 points.…”

Section: Discussionmentioning

confidence: 99%

Study of intercondylar fractures of the distal humerus treated with 90-90 plating

Rekha¹

2017

Int. J. Orthop. Sci.

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Intra articular fractures of the distal humerus cause considerable morbidity to the patients. There are several controversies regarding the approach and fixation of the fracture. AO advocated 90-90 plating of both columns while recent biomechanical studies demonstrated superior mechanical strength with parallel plating. But parallel plating is associated with many complications. We performed bicolumnar perpendicular plating in 15 intraarticular AO type C fractures through transolecranon approach. Ulnar nerve was isolated and carefully protected, but ulnar nerve transposition was not done. We achieved union in all cases with functional range of movement in 13 patients. We had no case of post-operatively developed ulnar nerve neuropathy or heterotopic ossification. The average Mayo Elbow Performance Score was 85 points. We infer that 90-90 plating is effective in intercondylar fractures of distal humerus with minimal complications.

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Functional results of the parallel-plate technique for complex distal humerus fractures

Abstract: Functional results are satisfactory in distal humerus fractures treated with stable osteosynthesis and parallel-plate technique that allow early active motion.

Cited by 44 publications

References 18 publications

Outcome of management of distal humerus fractures by locking compression plate

Outcome of management of distal humerus fractures by locking compression plate

The comparison of triceps-reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus

Study of intercondylar fractures of the distal humerus treated with 90-90 plating

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