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- Title
Functional outcome of open reduction internal fi xation of distal humerus intra articular fracture using recon plates.
- Authors
Ullah, Rafi; Iqbal, Javed; Imran, Anwar; Ahmed, Ashfaq; Javed, Muhammad Imran; Saddiq, Sadaf; Ahmed, Naeem
- Abstract
Background: Distal humerus fractures are challenging to manage successfully, even for the most experienced surgeon because of the complex anatomy. These fractures are often associated with comminution, displacement, and osteopenia. Objective: To assess the functional outcome of open reduction internal fixation of distal humerus, intra-articular fracture using recon plates. Material and Methods: This was a retrospective study conducted in the Department of Orthopaedic & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore over 4-years (April 2015-April 2019). Th e functional outcome was assessed using the Mayo Elbow Performance Score. 50 patients were included in this study. Data were entered and analyzed using SPSS version 22. Results: In this study, the majority were males as 33(66%), and 17(34%) were females with an average age of 32.92±9.79 years ranged from 17-65 years. Th e minimum follow up time was 3-months, the mechanism of injury was RTA in the majority of cases. Mean union time was 10-weeks. Th e mean MEPS score was 89.70 ranged from (45-100) poor to excellent. Th e results indicated that more than half of the patients reported excellent outcome (56%) as compared to those group of patients with good outcome identified as 22%, 7-patients assessed with fair outcome 2-male and 2-female patients reported the poor outcome The insignificant association was obtained between gender and functional outcome as p-value>0.05. Conclusion: The study concluded that the use of elbow reconstruction using recon plates for the fixation of complex intra or extra-articular fracture is a safe and eff ective surgical procedure for early recovery and early immobilization.
- Subjects
HUMERUS; OPERATIVE surgery; TENODESIS; SPINAL surgery; TEACHING hospitals; ELBOW
- Publication
Pakistan Journal of Surgery, 2020, Vol 36, Issue 1, p66
- ISSN
0258-8552
- Publication type
Article