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Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures
OBJECTIVE: To evaluate the clinical efficacy of micro‐locking plate through vertical or parallel technique for treatment of Dubberley B‐type capitellar fractures. METHODS: A retrospective analysis was performed in 24 patients (17 males and seven females, with an average age of 44.9 years, range from...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7862171/ https://www.ncbi.nlm.nih.gov/pubmed/33426763 http://dx.doi.org/10.1111/os.12880 |
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author | Lu, Yao Fu, Lei Ma, Teng Xu, Yi‐bo Xu, Li‐ping Song, Zhe Fan, Shan Wang, Qian Sun, Liang Xue, Han‐zhong Li, Zhong Zhang, Kun Liu, De‐yin Ren, Cheng |
author_facet | Lu, Yao Fu, Lei Ma, Teng Xu, Yi‐bo Xu, Li‐ping Song, Zhe Fan, Shan Wang, Qian Sun, Liang Xue, Han‐zhong Li, Zhong Zhang, Kun Liu, De‐yin Ren, Cheng |
author_sort | Lu, Yao |
collection | PubMed |
description | OBJECTIVE: To evaluate the clinical efficacy of micro‐locking plate through vertical or parallel technique for treatment of Dubberley B‐type capitellar fractures. METHODS: A retrospective analysis was performed in 24 patients (17 males and seven females, with an average age of 44.9 years, range from 19 to 75 years) with capitellar fractures that were treated with micro‐locking plate using vertical or parallel technique between January 2016 to January 2019. The inclusion criteria include closed capitellar fracture, normal anterior elbow joint movement before injury, and recent capitellar fracture with injury within past 3 weeks. Fractures classified according to Dubberley included four cases of type IB, eight cases of type IIB, and 12 cases of type IIIB. Radiographic evaluation was performed. Surgery time, blood loss, range of motion of the elbow, forearm rotation, and complications were recorded. Elbow joint function was evaluated by Mayo Elbow Performance Score (MEPS). RESULTS: The mean follow‐up period was 19.6 months (range, 12–36 months). The average clinical healing time for fractures was 11.2 ± 3.2 weeks (range, 8–20 weeks). Fracture united in all patients. Two patients showed slight delayed union, but union was achieved eventually. The mean time from injury to surgery was 6.3 ± 3.1 days (range, 2–15 days). The average surgical time was 68.1 ± 11.5 min (range, 50–90 min), and the mean blood loss was 75.2 ± 26.5 mL (range, 40–120 mL). The mean range of flexion was 122.5° ± 10.5°(range, 95°–140°). The mean range of extension was 8.5° ± 5.8°(range, 0°–20°). The mean range of pronation was 79.7° ± 8.0°(range, 65°–90°). The mean range of supination was 80.5° ± 7.1°(range, 60°–90°). The mean MEPS at final follow‐up was 89.8 ± 9.0 (range, 60–100). Based on the MEPS, 18 (75%) patients had excellent, five (20.8%) patients had good, and one (4.2%) patient had fair. None of the 24 patients suffered vascular or nerve injury. One patient showed superficial infection, which was treated with surgical dressing. CONCLUSIONS: The vertical or parallel technique of the micro‐locking plate is an excellent method for treating Dubberley B‐type capitellar fractures. |
format | Online Article Text |
id | pubmed-7862171 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-78621712021-02-16 Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures Lu, Yao Fu, Lei Ma, Teng Xu, Yi‐bo Xu, Li‐ping Song, Zhe Fan, Shan Wang, Qian Sun, Liang Xue, Han‐zhong Li, Zhong Zhang, Kun Liu, De‐yin Ren, Cheng Orthop Surg Clinical Articles OBJECTIVE: To evaluate the clinical efficacy of micro‐locking plate through vertical or parallel technique for treatment of Dubberley B‐type capitellar fractures. METHODS: A retrospective analysis was performed in 24 patients (17 males and seven females, with an average age of 44.9 years, range from 19 to 75 years) with capitellar fractures that were treated with micro‐locking plate using vertical or parallel technique between January 2016 to January 2019. The inclusion criteria include closed capitellar fracture, normal anterior elbow joint movement before injury, and recent capitellar fracture with injury within past 3 weeks. Fractures classified according to Dubberley included four cases of type IB, eight cases of type IIB, and 12 cases of type IIIB. Radiographic evaluation was performed. Surgery time, blood loss, range of motion of the elbow, forearm rotation, and complications were recorded. Elbow joint function was evaluated by Mayo Elbow Performance Score (MEPS). RESULTS: The mean follow‐up period was 19.6 months (range, 12–36 months). The average clinical healing time for fractures was 11.2 ± 3.2 weeks (range, 8–20 weeks). Fracture united in all patients. Two patients showed slight delayed union, but union was achieved eventually. The mean time from injury to surgery was 6.3 ± 3.1 days (range, 2–15 days). The average surgical time was 68.1 ± 11.5 min (range, 50–90 min), and the mean blood loss was 75.2 ± 26.5 mL (range, 40–120 mL). The mean range of flexion was 122.5° ± 10.5°(range, 95°–140°). The mean range of extension was 8.5° ± 5.8°(range, 0°–20°). The mean range of pronation was 79.7° ± 8.0°(range, 65°–90°). The mean range of supination was 80.5° ± 7.1°(range, 60°–90°). The mean MEPS at final follow‐up was 89.8 ± 9.0 (range, 60–100). Based on the MEPS, 18 (75%) patients had excellent, five (20.8%) patients had good, and one (4.2%) patient had fair. None of the 24 patients suffered vascular or nerve injury. One patient showed superficial infection, which was treated with surgical dressing. CONCLUSIONS: The vertical or parallel technique of the micro‐locking plate is an excellent method for treating Dubberley B‐type capitellar fractures. John Wiley & Sons Australia, Ltd 2021-01-10 /pmc/articles/PMC7862171/ /pubmed/33426763 http://dx.doi.org/10.1111/os.12880 Text en © 2021 The Authors. Orthopaedic Surgery published by Chinese Orthopaedic Association and John Wiley & Sons Australia, Ltd. This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Articles Lu, Yao Fu, Lei Ma, Teng Xu, Yi‐bo Xu, Li‐ping Song, Zhe Fan, Shan Wang, Qian Sun, Liang Xue, Han‐zhong Li, Zhong Zhang, Kun Liu, De‐yin Ren, Cheng Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures |
title | Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures |
title_full | Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures |
title_fullStr | Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures |
title_full_unstemmed | Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures |
title_short | Clinical Efficacy of Vertical or Parallel Technique of a Micro‐Locking Plate for Treatment of Dubberley B‐Type Capitellar Fractures |
title_sort | clinical efficacy of vertical or parallel technique of a micro‐locking plate for treatment of dubberley b‐type capitellar fractures |
topic | Clinical Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7862171/ https://www.ncbi.nlm.nih.gov/pubmed/33426763 http://dx.doi.org/10.1111/os.12880 |
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