Role of Extra-articular distal humerus plate in distal third fractures of humerus

Vol 35 | Issue 1 | Jan-April 2020 | page: 3-7 | Latif Z. Jilani, Ziaul Hoda Shaan*, Mohd. Faizan, Sohail Ahmad, Naiyer Asif, Mazhar Abbas

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Authors: Latif Z. Jilani [1], Ziaul Hoda Shaan [2]*, Mohd. Faizan [3], Sohail Ahmad [3], Naiyer Asif [4], Mazhar Abbas4 [1]

¹Department of Orthopaedic Surgery, J.N. Medical College, A.M.U, Aligarh, India.

Address of Correspondence:
Dr. Ziaul Hoda Shaan,
J.N. Medical College, A.M.U, Aligarh, India.
E-mail: shaan.hoda007@gmail.com


Background: The choice of implant for the fixation of extraarticular distal humerus fracture has always been a matter of debate among the treating surgeons. Plates of various shapes and designs have been in use. An anatomically precontoured Locking compression plate (LCP)- Extraarticular distal humeral plate(EADHP) has been developed for sturdy fixation of distal humeral extraarticular fractures and has solved the dilemma of the treating surgeon regarding the choice of implant. This study focuses on the functional outcome of distal third extraarticular humeral fractures fixed with the above mentioned plate.
Material and methods: Twenty four patients presenting to our casualty and OPD with extraarticular distal humerus fracture were operated between June 2014 and December 2016. All patients were operated by triceps splitting approach. Patients were regularly followed and clinico-radiological outcome was recorded in terms of elbow range of movement, fracture union time, implant failure, secondary displacement, non union, infection and other complications. Mayo elbow Performance score was calculated and used for final functional outcome.
Results: A total of 24 patients were operated (19 male and 5 female). Twenty three patients had radiological union after a mean of 3.5 months. One patient went into non union. The average follow up period was 18 months. Mean flexion of elbow achieved at last follow-up was 125±18.5⁰(range 75-135⁰) and the mean loss of extension was 5⁰±5.5⁰ (range 0-15.5⁰).Average Mayo elbow performance score at the final follow up was 88.6±6.5. There was one case of infection, no neurovascular deficit post operatively or implant failure in any of the cases.
Conclusion: Anatomical precontoured distal humeral locking plates allow for stable fixation and initiating early elbow physiotherapy thereby yielding satisfactory functional and radiological outcome with minimal to no complication.
Key words: Distal humerus fracture; locking compression plate; extraarticular distal humeral plate osteosynthesis.


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How to Cite this Article: Jilani L Z, Shaan Z H, Faizan M, Ahmad S, Asif N, Abbas M | Role of Extra-articular distal humerus plate in distal third fractures of humerus | Journal of Bone and Joint Diseases | Jan-April 2020; 35(1): 3-7.

 



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