TO EVALUATE THE FUNCTIONAL OUTCOME OF LOCKING PLATE FIXATION IN CASES OF COMMINUTED PROXIMAL ULNA FRACTURES IN A STUDY CONDUCTED AT TERTIARY CARE CENTRE
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 1, Pages 1627-1633
AbstractAim: To evaluate the functional outcome of locking plate fixation in cases of comminuted proximal ulna fractures.
Methods: The Department of Orthopaedics conducted this prospective observational research. We included 40 patients with comminuted fracture proximal ulna, including fracture olecranon and Monteggia fracture, for this research. Inclusion and exclusion criteria were used to enrol patients. The research comprised patients over the age of 19 with a comminuted proximal one-third ulna fracture that was less than one month old. During the time, 22 patients with comminuted olecranon fractures and 18 patients with Monteggia fractures were treated with locking plate fixation in our prospective research.
Results: The mean arc of elbow motion for Olecranon fractures was 108.3o, with a range of motion from 10.24o to 118.35o, whereas the mean arc of elbow motion for Monteggia fractures was 108.7o, with a range of motion from 8.7o to 117.6o. In Monteggia fracture patients, the mean MEPS was 95, with 88.89 percent excellent outcomes and 11.11 percent good results. The mean elbow supination and pronation were 73.3o and 70.7o, respectively. Our case series with olecranon fractures had a mean MEPS of 91, with 59.10% excellent and 40.90% good outcomes, and all patients recovered to their pre-injury daily activities. The mean elbow supination and pronation in instances with olecranon fractures and Monteggia fractures were 75.7o and 71.2o, respectively.
Conclusion:In our research, treating proximal ulna fractures with locking plate fixation and early mobilisation resulted in expected good union rates and great patient outcomes. Our findings are consistent with earlier findings. The positive radiological findings demonstrate the utility of locking plate osteosynthesis in instances with proximal ulna fractures, if adequate plate location is obtained.
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