A Study of The Results of Double Plating for The Fixation of Fractures of The Lower End of Humerus in Adults.

DR DHAVAL R MODI; DR .RUKESH R PATEL; DR KAUSHAL R ANAND; DR GYAN TRIVEDI; DR JWALANT C MODI; DR GEORGE MATHEW KOSHY

Volume : III, Issue : IX, September - 2014

A Study of The Results of Double Plating for The Fixation of Fractures of The Lower End of Humerus in Adults.

Dr Dhaval R Modi, Dr . Rukesh R Patel, Dr Kaushal R Anand, Dr Gyan Trivedi, Dr Jwalant C Modi, Dr George Mathew Koshy

Abstract :

Distal humerus fractures in adults are injuries which are highly demanding, and complex because of metaphyseal comminution in the fracture, articular involvement with small fragments, limited subchondral bone, osteoporosis and difficult anatomy and approach to the joint. • AIMS AND OBJECTIVES study the results of fractures of the lower end of humerus in adults, treated by the double plating technique in terms of the final range of movement of the elbow, the union time , rate of complications. • Materials and method we retrospectively reviewed a series of 24 adults who underwent double plating for the distal humeral fractures at our institute. • Results:results were considered in terms of union ,complication ,mobility , implant used, duration of stay,MAYO elbow performense score,varus valgus stability. • Conclusion: Two established plating techniques (orthogonal and parallel plating) have yielded excellent outcomes after open reduction and internal fixation. We recommend operating the distal humerus fractures in all cases with ORIF by double plating, focusing on the AO principles, even in the presence of osteoporosis.