Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2018 | Month : May | Volume : 12 | Issue : 5 | Page : RC01 - RC05

Evaluation of Functional Outcomes of Intra-articular Fractures of Distal Humerus by Open Reduction and Internal Fixation

Gokul Chand Verma, Sarita Jilowa, Jitendra Singh, Dinesh Rathi

1. Junior Specialist, Department of Orthopaedics, Dr. Baba Saheb Ambedkar Medical College and Hospital, Rohini, Delhi, India. 2. Associate Professor, Department of Radiodiagnosis, PGIMER and Ram Manohar Lohia Hospital, Delhi, India. 3. Specialist, Department of Orthopaedics, Dr. Baba Saheb Ambedkar Medical College and Hospital, Rohini, Delhi, India. 4. Senior Resident, Department of Orthopaedics, Dr. Baba Saheb Ambedkar Medical College and Hospital, Rohini, Delhi, India.

Correspondence Address :
Dr. Gokul Chand Verma,
Junior Specialist, Department of Orthopaedics, Dr. Baba Saheb Ambedkar Medical College and Hospital,
Rohini, Delhi-110085, India.
E-mail: drgokulverma2@gmail.com

Abstract

Introduction: Different points of view exist regarding choice of surgical approach and of implants in management of distal humerus intra-articular fractures. The results of open reduction and internal fixation of these fractures are variable in terms of functional outcome.

Aim: To evaluation of results of surgical fixation of intraarticular distal humeral fractures with Arbeitsgemeinschaft fur Osteosynthesefragen (AO) reconstruction plates in terms of functional outcome.

Materials and Methods: A total of 20 patients with intraarticular fractures of distal humerus were operated with open reduction and internal fixation using olecranon osteotomy approach. Provisional fixation was done with K-wires. Interfragmentary compression was given with 4.0 mm cancellous lag screw and definitive fixation was done using 3.5 mm AO reconstruction plates and one third tubular plates. K-wire and tension band wiring fixation were used for osteotomy.

Results: Approximately 90% cases were inter-condylar type C fractures. The average elbow flexion achieved at final follow up was 110.25. Approximately 75% patients showed excellent or good results based on clinical, radiological evidence of union and functional outcome which was assessed using Mayo Elbow Performance Index Score (MEPIS). Average MEPI score in this study was 86.0, based on points assigned to Pain, Motion, Stability and Function.

Conclusion: Open reduction and internal fixation of distal humerus fractures gives good results after restoration of complex geometry of condyles and shaft in all three planes. The AO reconstruction plates and one third tubular plates were found to be very effective and useful in treatment of adult distal humerus intra articular fractures with good functional outcome.

Keywords

Displaced fragments, K-wire, Reconstruction plates

How to cite this article :

Gokul Chand Verma, Sarita Jilowa, Jitendra Singh, Dinesh Rathi. EVALUATION OF FUNCTIONAL OUTCOMES OF INTRA-ARTICULAR FRACTURES OF DISTAL HUMERUS BY OPEN REDUCTION AND INTERNAL FIXATION. Journal of Clinical and Diagnostic Research [serial online] 2018 May [cited: 2018 Aug 15 ]; 12:RC01-RC05. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2018&month=May&volume=12&issue=5&page=RC01-RC05&id=11489

DOI and Others

DOI: 10.7860/JCDR/2018/32802.11489

Date of Submission: Sep 21, 2017
Date of Peer Review: Jan 04, 2018
Date of Acceptance: Feb 15, 2018
Date of Publishing: May 01, 2018

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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