Functional Outcome of Bicolumnar Plating in Distal Humerus Fracture

Bhattachan S*, Gupta AK*, Hamal B**, Adhikari BR***

Abstract


Introduction: Surgical reconstruction of intraarticular distal humerus fracture imposes a challenge to orthopedics surgeon. Stable fixation and anatomical joint restoration are crucial factors for optimal outcome of elbow joint. The purpose of this study was to evaluate the functional outcome of bicolumnar plating in distal humerus intraarticular fracture.

Method: This was a prospective analytical study of 30 patients with Type C distal humerus fractures fixed with orthogonal plating at National Academy of Medical Sciences, National Trauma Center. Functional outcome using Mayo Elbow Performance Index (MEPI) Score and the complications were noted.


Result: Eight (26.6%) fractures were C1, 12 (40%) were C2 and 10 (33.3%) were C3 according to AO/OTA classification. Mean duration of follow up was 6 months. Mean flexion extension arc was
90.66 ± 21.32 degrees with mean block to extension of 21.33 ± 10.41 degrees. Overall, C1/C2 and C3 MEPI scores were 80.33±11.29, 85±8.58 and 71±10.48 respectively (P=0.002). Functional outcome was graded as excellent in 6 (20%) patients and good in 18 (60%) patients. Minor complications were seen in 10 patients.


Conclusion: Bicolumnar plating in orthogonal configuration can provide anatomical reconstruction and stable fixation of type C distal humerus fractures and allow early mobilization
of elbow after surgery. Most patients have a high level of satisfaction.


Keywords: Bicolumnar Plating, Mayo Elbow Performance Index Score, Orthogonal.

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