FUNCTIONAL OUTCOME OF EXTRA-ARTICULAR DISTAL HUMERUS FRACTURE FIXATION USING A LATERAL COLUMN LOCKING COMPRESSION PLATE

Authors

  • Araib Ghega Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore
  • Farzad Effan Pathology Department, Lahore Medical & Dental College, Lahore
  • Hizbullah Riaz Ansari Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore
  • Mohammad Tallal Abdullah Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore
  • Shahzad Javaid Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore
  • Amer Aziz Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore

DOI:

https://doi.org/10.55519/JAMC-03-S1-10288

Keywords:

Humeral fractures, orthopedic fixation devices, internal fixators, radial neuropathy

Abstract

Background: A host of different methodologies have been implemented in the management of distal humerus fractures, including conservative measures and surgical fixation with a variety of plates. This study was conducted to evaluate the functional outcome of open reduction and internal fixation of extra articular distal humerus fractures with distal humerus locking compression plate. Methods: This is a retrospective cohort study of patients with close extra articular distal humerus fractures who underwent open reduction and internal fixation with a distal humerus locking compression plate at Ghurki Trust Teaching Hospital from July 2017 to December 2019. Various demographic indicators were used for data analysis and radiological union was assessed in serial follow-ups. Functional outcome was evaluated using the Mayo Performance Elbow Score at the final follow-up. Results: Thirty-one patients presented with extra-articular fracture of humerus (N=31) with average age 33.5±9.90 years. The average follow-up period was 13.8 months. Radiological union was achieved in 14.8 weeks (range 12–20 weeks). Out of 31 patients, 28 had excellent results with mean Mayo Elbow Performance Score of 94.8. Two patients (6.5%) had radial nerve palsy post-operatively. Conclusion: This study shows that open reduction and internal fixation of extra-articular distal humerus fractures with distal humerus locking compression plates allows for stable fixation, good functional outcome, and low complication rates.

Author Biographies

Araib Ghega, Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore

Post-graduate resident in Department of Orthopedics and Spine Surgery at Ghurki Trust Teaching Hospital, Lahore

Farzad Effan, Pathology Department, Lahore Medical & Dental College, Lahore

Demonstrator in Pathology Department of Lahore Medical & Dental College, Lahore

Hizbullah Riaz Ansari, Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore

Post-graduate Resident in Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore.

Mohammad Tallal Abdullah, Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore

Post-graduate Resident in Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore.

Shahzad Javaid, Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore

Professor at Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore.

Amer Aziz, Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore

Professor and Head of Department of Orthopedics and Spine Surgery, Ghurki Trust Teaching Hospital, Lahore.

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Published

2022-06-24

Issue

Vol. 34 No. 3 (SUPPL 1) (2022): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

ORIGINAL ARTICLE

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