Annals of African medicine · 2025
The Clinical and Functional Outcome of Extra-articular Distal Humerus Fracture Treated with Locking Compression Plate.
СтатьяНазвание и аннотация: Перевод в очереди
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Kulkarni Ketan, Salunkhe Rahul, Kale Amit, Mahida Kishan, Dholu Urva
Аннотация
BACKGROUND: Extra-articular distal humerus fractures account for approximately 16% of all humerus fractures and 3% of adult fractures. These injuries pose significant treatment challenges due to the complex three-dimensional anatomy and the biomechanical demands placed on the distal humerus.
OBJECTIVE: The objective of this study was to evaluate the clinical and functional outcomes of extra-articular distal humerus fractures treated with locking compression plates.
MATERIALS AND METHODS: A prospective study was conducted on 90 patients with extra-articular distal humerus fractures who underwent open reduction and internal fixation using an extra-articular distal humerus plate (EADHP) between June 2020 and March 2023. Patients were followed for an average of 7 months. Functional outcomes were assessed using the Mayo elbow performance score (MEPS), Anderson criteria, and disabilities of the arm, shoulder, and hand (DASH) score.
RESULTS: The mean patient age was 45.2 years, with a male predominance (71.7%). Road traffic accidents were the most common cause (81.3%). The average time to fracture union was 10 weeks. The mean MEPS was 84, and the mean DASH score was 15.6. According to the Anderson criteria, 84.4% achieved excellent results and 15.6% achieved good results. Complications included elbow stiffness (12.5%), hardware prominence (6.2%), ulnar neuropraxia (6.2%), infection (3.1%), and heterotopic ossification (3.1%).
CONCLUSION: The EADHP locking compression plate provides excellent stability for extra-articular distal humerus fractures, enabling early mobilization and favorable functional recovery. Its stable construct reduces the risk of implant failure and nonunion, making it a reliable option for these challenging fractures.
OBJECTIVE: The objective of this study was to evaluate the clinical and functional outcomes of extra-articular distal humerus fractures treated with locking compression plates.
MATERIALS AND METHODS: A prospective study was conducted on 90 patients with extra-articular distal humerus fractures who underwent open reduction and internal fixation using an extra-articular distal humerus plate (EADHP) between June 2020 and March 2023. Patients were followed for an average of 7 months. Functional outcomes were assessed using the Mayo elbow performance score (MEPS), Anderson criteria, and disabilities of the arm, shoulder, and hand (DASH) score.
RESULTS: The mean patient age was 45.2 years, with a male predominance (71.7%). Road traffic accidents were the most common cause (81.3%). The average time to fracture union was 10 weeks. The mean MEPS was 84, and the mean DASH score was 15.6. According to the Anderson criteria, 84.4% achieved excellent results and 15.6% achieved good results. Complications included elbow stiffness (12.5%), hardware prominence (6.2%), ulnar neuropraxia (6.2%), infection (3.1%), and heterotopic ossification (3.1%).
CONCLUSION: The EADHP locking compression plate provides excellent stability for extra-articular distal humerus fractures, enabling early mobilization and favorable functional recovery. Its stable construct reduces the risk of implant failure and nonunion, making it a reliable option for these challenging fractures.