CLINICAL STUDY OF SURGICAL MANAGEMENT OF FRACTURE OF LOWER ONE THIRD OF HUMERUS BY EXTRA ARTICULAR PLATING IN ADULTS
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 2055-2066
AbstractBackground: To study the surgical management of fractures of lower one third of humerus by Extra articular distal humerus locking compression plate in adults.
Materials and Methods: The present study was done in Govt Medical College /Hospital, Suryapet from December 2021 to May 2022. 20 cases of lower one third humerus shaft fractures were treated with open reduction and internal fixation with Extra Articular Distal Humerus Locking Compression Plates (EADHP).
Results: 6 patients were (30%) in the age group of 18-35 yrs & 51-65 yrs each. 14(70%) were Male patients. 13(65%) Left side involved patients. 16(80%) patients sustained injury due to road traffic accident. 12 B1 Type was most common pattern. 18(90%) were closed fractures. 3(15%) were associated with multiple injuries Mean of time for Fracture union in 18 patients (90%) was 13.9 weeks. 3(15%) patients developed post-operative complications. Radial nerve neuropraxia 2(10%) cases and Superficial infection 1(5%) case. Average DASH score was 17.6 with range 12.5 to 33.5 points. Functional outcome as per Mayo Elbow Performance Score was excellent in 18(90%) cases; good in 2(10%) cases.
Conclusion: We conclude as per AO principles that early operative intervention with Extrarticular Distal Humerus Locking Compression Plating (EADHP) on postero- lateral column of humerus for these fractures will result in excellent functional outcome.
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