Volume : IX, Issue : VI, June - 2019

Analysis of using posterior approach with olecranon osteotomy for intra articular fractures of distal humerus in adults.

Dr Anil Gupta, Dr Pallav Gupta

Abstract :

Introduction: Posterior approach with olecranon osteotomy is a well known approach for operating upon distal humerus fractures. In our study, we studied the clinical outcome of this approach in intra articular fractures of the distal humerus. Materials and Methods: We studied 36 adult patients (male: 21, female: 15) having mean age of 45.4 years with closed intra–articular fractures of distal humerus who were surgically managed using posterior approach with olecranon osteotomy and were followed–up for a mean of 18.6 months. Mayo Elbow Performance Score (MEPS) was used to study the outcome and complications were observed. Results: All fractures united by the end of three months. Mean elbow flexion achieved was 120°, mean extension lag was 11° and mean active arc of motion was 111°. Mean MEPS was 84 (Excellent: 11, Good: 22, Fair: 2 and Poor: 1). Post–operative transient ulnar nerve palsy was noted in two cases, heterotopic ossification was in one case, infection in two cases, implant prominence in five and elbow stiffness in three cases. Conclusion: The olecranon osteotomy approach for distal humerus fractures had good functional outcome with fewer complications. Joint congruity and fixation could easily be assessed intraoperatively.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

ANALYSIS OF USING POSTERIOR APPROACH WITH OLECRANON OSTEOTOMY FOR INTRA ARTICULAR FRACTURES OF DISTAL HUMERUS IN ADULTS., Dr Anil Gupta, Dr Pallav Gupta INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-6 | June-2019

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