Study of the Role of Plating in Fractures of Distal One-Third of Humerus Via Posterior Approach
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 2
Abstract
Introduction: Distal humerus fracture in adult is very difficult to treat. It is very difficult to achieve alignment, anatomical reduction, rigid fixation, immediate mobilization and fracture union in such patient. The aim of present study was to evaluate the results of open reduction and internal fixation with plating in fractures of distal 1/3rd of humerus via posterior approach. Material And Method- A total of 30 patients of age group 15 and above of either sex with fractures of the distal 1/3rd humerus were fixed with plating using posterior approach. 16 cases were fixed with dual reconstruction plates, 9 cases with single reconstruction plate and other 5 with narrow dynamic compression plate. Data was analyzed both with regards to the clinical and radiological outcome to evaluate the effectiveness, functional outcome and morbidity associated with the procedure. Result- 23 patients were able to achieve >1000 arc of motion and 7 patients had in between 50-1000 . 25 patients were having excellent to good score according to mayo elbow performance index. Conclusion- It was concluded that anatomical reduction and rigid fixation of the fracture with reconstruction of the congruous joint surface can be achieved only with early open reduction and internal fixation and for good open reduction and internal fixation adequate exposure of the fracture is must which is best provided by posterior approach with negligible complications
Authors and Affiliations
Dr. Partap Singh
Keywords
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