MANAGEMENT OF FRACTURES OF THE DISTAL HUMERUS IN ADULTS USING BIPILLAR PLATING(90:90)

Dr Jwalant Patel; Dr himanshu shah; Dr vishwanath chavali; Dr Rajiv N Daveshwar

Volume : V, Issue : VIII, August - 2016

MANAGEMENT OF FRACTURES OF THE DISTAL HUMERUS IN ADULTS USING BIPILLAR PLATING(90:90)

Dr Jwalant Patel, Dr Himanshu Shah, Dr Vishwanath Chavali, Dr Rajiv N Daveshwar

Abstract :

Objective: to assess the results of fractures of distal humerus in adults, treated by bipillar plating technique in terms of the final range of elbow motion, union time, pain relief and rate of complications. Introduction: distal humerus fractures are uncommon injuries that account for fewer than 2% of all adult fractures. The complex shape of the elbow joint, the adjacent neurovascular architecture, and the sparse soft tissue envelope combine to make these fractures difficult to treat. Acceptable results have been reported in a majority of patients treated by open reduction and internal fixation.restoration of painless and satisfactory elbow function after a fracture of the distal humerus requires anatomic reconstruction of the articular surface, restitution of the overall geometry of thedistal humerus, and stable fixation of the fractured fragments to allow early and full rehabilitation. Methodology: adult patients having distal humerus fractures were admitted to ssg hospital attached tobaroda medical college and were taken up for study after obtaining their informed and written consent. This is a prospective study of 40 adult patients having distal humerus fractures from june 2014 to june 2015.all patients are treated with open reduction and internal fixation with bipillar plating(90:90) and were assessed in terms of union time,rate of complication,elbow range of motion,pain relief.at final follow up(minimum of 6 months),all patients were assessed as per the mayo elbow performence index. Results:the mean age of patients was 35(range–18–60) with maximum(42.5%) of them being in the range of 31–40 years.average time to union was 17.3 weeks.92.5% of the fracures united without any major significant complications.only 10% patients showed implant related complications. 60% patients showed final elbow flexion arc of 50–100 degree and 30% patients showed flexion arc of >100 degree. at final follow up mayo score was good in 70% patients and was excellent in 17.5% patients.