Open Reduction And Internal Fixation In AO Type C Distal Humeral Fractures Using Olecranon Osteotomy: Functional And Clinical Results

Asfuroğlu, Zeynel Mert; İnan, Ulukan; Ömeroğlu, Hakan

doi:10.5505/tjtes.2017.32916

Cited by 7 publications

(7 citation statements)

References 18 publications

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“…There are many studies about the results of distal humeral fracture treatment [7][8][9][10][11][12][13]. However, none of these studies evaluates return of the patients to their pre-injury works and the possible financial effects of this injury on the patients.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Kumbaracı¹,

Basa²,

Turgut³

2020

IJOO

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Background The purpose of this study is to evaluate the functional results of distal humerus fractures which were treated by open reduction and fixation with pre-contoured angular stable plates in young patients, and investigate whether the patients could return to their pre-injury work and patients' financial conditions while they were not working. Materials and MethodsThe data of 48 patients, ages between 18 and 55 years, working in a job and having AO/OTA type C distal humerus fracture were retrospectively evaluated. Mayo Elbow Performance Score (MEPS) was used to determine functional results. Postoperative radiographs were evaluated to determine the rate of union, degenerative changes, malunion and heterotopic ossification. Financial outcome form was constituted by the authors and the patients asked whether she/he could return to their pre-injury works after treatment finished and the financial status of the patients during the treatment and after the treatment. ResultsThe mean flexion-extension arc was 114° ± 12°(range 85°-135°) and the mean MEPS score was 85 ± 11(range 65-100). The average time to return to work was 6.5 ± 2.4 months (3-12 months). AO type C2 and C3 fractures and heterotopic ossification negatively affected the functional results and also adversely affected the patients' return to their pre-injury works. 38 (79%) patients returned to pre-injury work and 29 (76%) of them started to work at the same position before the fracture occured. Nine of 38 patients (24%) had to change their positions. Among the 48 patients, 10 patients (21%) could not return to the same work, 7 of them found light duty and 3 of them had not been to work. Conclusion Although the functional results of surgical treatment of intra-articular distal humerus fractures are good, at the end of the treatment, especially heavy workers may have difficulties in returning to their former works.

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Section: Introductionmentioning

confidence: 99%

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Kumbaracı¹,

Basa²,

Turgut³

2020

IJOO

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“…They had complications such as super icial infection in 3 and ulnar nerve palsy in 3 patients. (Asfuroğlu, 2017) Schmidt at al studied 34 patients, and they reported 92% excellent and good results. The mean DASH score was 22.5 points, and the range of movement was 0-105 0 .…”

Section: Resultsmentioning

confidence: 99%

ORIF with orthogonal plating in the management of complex distal humerus fractures -A prospective study of 30 patients

Subash¹,

Vishnu²,

Damodharan³

2020

ijrps

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Fractures of the distal humerus are quite challenging due to the nature of the fracture. They are compounded by factors such as gross and osteoporosis, especially in the elderly age group. This study was performed to evaluate the functional outcome following ORIF (Open reduction and internal fixation) of these fractures with orthogonal plating. Thirty patients with complex fractures of the distal humerus who presented between April 2011 to April 2014 were managed with ORIF with orthogonal plating. They were followed up for three years. Functional evaluation was performed using the MEPS (Mayo elbow performance score) and the DASH score (Disabilities of arm, shoulder and hand). The right elbow was more commonly affected, as seen in 16 patients, and the most common mode of injury was road traffic accidents. The average time to fracture union was 11.6 weeks. The mean MEPS score was 88.5±11.6 with 85.6% of patients having a good or excellent outcome, and the mean DASH score was 23.2 points. ORIF with orthogonal plating of complex distal humerus fractures provides a stable fixation construct and gives good functional outcomes to the patient.

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“…Another impressive result was extension loss, and flexion degree were worse in C2 fractures than C3 fractures. Whereas, in literature, when the fracture type becomes more complex, functional outcomes worsen [12][13][14] . The decreased elbow ROM in C3 fractures might be related to advanced age, delay of surgery, accompanying fracture, intensive care unit admission, and soft tissue problems [15] .…”

Section: Discussionmentioning

confidence: 97%

The relationship between the trauma-to-surgery interval and results in c-type distal humeral fractures

Erdoğan¹

2020

Int. J. Orthop. Sci.

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Background: Delayed surgery will lengthen the immobilization time and lead to soft tissue contracture in AO C-Type distal humeral fractures. We aimed to investigate the relationship between the traumasurgery interval (TSI) and the functional and radiological parameters. Our hypothesis is delay in surgery separately affects functional and radiological outcomes and results worsen as surgical delay increases. In addition, we investigated if there is a breaking time for surgical delay in deterioration of results. Methods: A total of 39 surgically treated C-Type distal humeral fractures between January 2003 and May 2013 were investigated retrospectively. Cases with additional problems to prolong TSI were excluded. Only patients with long TSI due to lack of operating room or lack of implant were included in the study. Two groups were made according to TSI as group I: 0-2 days and group II: 2-5 days. Groups were evaluated according to MEPI (Mayo Elbow Performance Index), elbow joint ROM (Range of Motion), and stability. Also, estimated radiological parameters were arthrosis, heterotopic ossification, avascular necrosis, joint stepping, malunion, and nonunion. Results: There was no correlation between TSI and MEPI score, but there was a moderate positive correlation between the TSI and extension loss, a moderate negative correlation between the TSI and flexion range. We found that three days is a breaking time for surgical delay in deterioration of results. Conclusions: Delay in surgery independently affected the functional and radiological outcomes and results worsen as surgical delay increased. TSI is even ahead of the fracture type in determining the functional results when TSI is three days and above. Delayed surgery more than three days of C2 fractures may result in more inferior functional results than a C3 fracture treated within three days.

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Open Reduction And Internal Fixation In AO Type C Distal Humeral Fractures Using Olecranon Osteotomy: Functional And Clinical Results

Abstract: Our results revealed better prognosis in AO type C1 and type C2 fractures than in AO type C3 fractures and no different effects of two fixation techniques in olecranon osteotomy on the outcomes.

Cited by 7 publications

References 18 publications

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

Analysis of Factors Affecting Return to Work After Surgical Treatment in Patients with AO Type C Distal Humerus Fractures

ORIF with orthogonal plating in the management of complex distal humerus fractures -A prospective study of 30 patients

The relationship between the trauma-to-surgery interval and results in c-type distal humeral fractures

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