Journal of Pharmacy And Bioallied Sciences

ORIGINAL ARTICLE
Year
: 2021  |  Volume : 13  |  Issue : 6  |  Page : 1483--1487

Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study


Ashis Kumar Gupta1, Barada Prasanna Samal2, Tushar Ranjan Dalei2 
1 Department of Orthopaedics, PRM Medical College and Hospital, Baripada, Odisha, India
2 Department of Orthopaedics, Veer Surendra Sai Institute of Medical Sciences and Research, Burla, Odisha, India

Correspondence Address:
Ashis Kumar Gupta
Assistant Professor, Department of Orthopaedics, PRM Medical College and Hospital, Baripada, Odisha
India

Introduction: The optimal method for fixation of extra-articular distal humerus fractures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates (EADHPs) have emerged as a viable solution for these complex injuries. We assessed functional and radiologic outcomes in our retrospective case series of extra-articular distal humerus fractures managed with these plates at different centers in Cuttack, Odisha. Materials and Methods: One hundred and ten patients of extra-articular distal humerus fractures, who were operated at various trauma centers between January 2012 and December 2020, were identified. After exclusion, 100 patients were available for the final assessment. All patients were operated with the triceps-reflecting modified posterior approach. Regular functional–radiologic follow-up was done evaluating elbow functionality, fracture union, secondary displacement, nonunion, implant failure, and any complications; Mayo Elbow Performance Score (MEPS) was used for the final functional assessment. Results: Sixty-seven percent of male and 33% of female patients constituted the study group, who had an average follow-up of 18 months. Preoperatively three patients and postoperatively one patient had radial nerve palsy; all had neurapraxia and recovered completely. Overall, 95% of patients were adjudged to have complete radiological union within 3 months; 6% of patients developed nonunion. The mean flexion achieved was 123 + 22, and the mean extension was 4.031 + 6.50; five patients with head injury developed flexion deformity of 45. The average MEPS at the final follow-up was 91 + 9.8. Conclusion: Stable reconstruction and early initiation of physiotherapy are utilitarian to envision optimal outcome; the use of precontoured EADHPs has yielded satisfactory results with minimal complications in our hands.


How to cite this article:
Gupta AK, Samal BP, Dalei TR. Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study.J Pharm Bioall Sci 2021;13:1483-1487


How to cite this URL:
Gupta AK, Samal BP, Dalei TR. Functional and radiological outcome in distal third humerus fracture treated with extra-articular locking plate: A multicentric retrospective study. J Pharm Bioall Sci [serial online] 2021 [cited 2022 Sep 25 ];13:1483-1487
Available from: https://www.jpbsonline.org/article.asp?issn=0975-7406;year=2021;volume=13;issue=6;spage=1483;epage=1487;aulast=Gupta;type=0