Outcome of precontoured locking plate fixation in distal humerus fractures

Abstract

Aim: Outcome of precontoured locking plates fixation in Distal Humerus Fractures. Material and methods: Twenty-five patients with distal humerus fractures were treated with ORIF with pre-contoured locking plates. There were 16 males, 9 females, with an average age of 42.8 years (21-59years). As per the AO classification performance score, the results obtained were graded as excellent or good results in 24 patients (96%), fair in 1 (4%) and poor in 0 (0%) of cases. Average time interval between admission and surgery was 3.8 days (average 1, there were 3 type A fractures(12%),1 type B(4%) and 21 type C fractures (84%).In addition to clinical examination, functional results were evaluated using the Mayo elbow performance score (MEPS). Results: Using the Mayo elbow -9 days). All the fractures as well as the olecranon osteotomies united by 10-16 weeks (13.76 weeks). No patient had deep infection, implant failure, non-union of fracture site or olecranon osteotomy site. Superficial wound infection, which occurred in 2 (8%) patients, resolved with oral antibiotics. Transient ulnar nerve palsy developed in 1(4%) case. However, the patient recovered with conservative treatment. Conclusions: An anatomically precontoured distal humerus locking plates are useful in providing stable fixation of distal humerus fractures, thereby facilitating early postoperative rehabilitation.

Functional outcome following internal fixation of intraarticular fractures of the distal humerus

“…In the Singh et al series, they treated 25 adult patients with distal humeral fractures both articular as well as extraarticular, with age ranging from 22-59 years. They obtained 96% of excellent to good results, 4% of fair and no poor results which are similar results reported with the use of pre-contoured LCP by other authors [29][30][31] . In our series, excellent to good results were seen in 88.82% patients.…”