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Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome
PURPOSE: This is a retrospective cohort study of type C distal humeral fractures (AO classification system) aimed at evaluating the effectiveness of current operative treatment options. MATERIALS AND METHODS: Thirty-seven patients with type C distal humeral fractures, treated operatively from Januar...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Jaypee Brothers Medical Publishers
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166263/ https://www.ncbi.nlm.nih.gov/pubmed/35734034 http://dx.doi.org/10.5005/jp-journals-10080-1546 |
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author | Athanaselis, Efstratios D Komnos, Georgios Deligeorgis, Dimitrios Hantes, Michael Karachalios, Theofilos Malizos, Konstantinos N Varitimidis, Sokratis |
author_facet | Athanaselis, Efstratios D Komnos, Georgios Deligeorgis, Dimitrios Hantes, Michael Karachalios, Theofilos Malizos, Konstantinos N Varitimidis, Sokratis |
author_sort | Athanaselis, Efstratios D |
collection | PubMed |
description | PURPOSE: This is a retrospective cohort study of type C distal humeral fractures (AO classification system) aimed at evaluating the effectiveness of current operative treatment options. MATERIALS AND METHODS: Thirty-seven patients with type C distal humeral fractures, treated operatively from January 2002 to September 2016, were retrospectively studied. Thirty-two were eligible for inclusion. Patients were treated by open reduction using the posterior approach, olecranon osteotomy and parallel-plate two-column internal fixation. Patients were evaluated for fracture healing, functional outcomes and complications (infection, ulnar neuropathy, heterotopic ossification and need for implant removal). Restoration of the normal anatomy was defined by measuring carrying angle, posterior angulation and intercondylar distance of distal humerus. RESULTS: The mean follow-up time was 8.7 years [range 2–15.5 years, standard deviation (SD) = 3.96]. Mean time to fracture union was 8 weeks for 29 patients (90.6%) (range, 6–10 weeks). In nine cases, there was malunion of varied importance (28.1%). There was one case with postoperative ulnar neuropathy and one case with deep infection. The mean Disabilities of the Arm, Shoulder and Hand (DASH) score and mean Mayo Elbow Performance Score (MEPS) were 20 (range 0–49) and 83.3 (range 25–100), respectively. CONCLUSION: In complex distal humerus fractures, the posterior approach with olecranon osteotomy and parallel plating of two columns, after anatomic reconstruction of the articular segment, is a prerequisite for successful elbow function. HOW TO CITE THIS ARTICLE: Athanaselis ED, Komnos G, Deligeorgis D, et al. Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome. Strategies Trauma Limb Reconstr 2022;17(1):7–13. |
format | Online Article Text |
id | pubmed-9166263 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Jaypee Brothers Medical Publishers |
record_format | MEDLINE/PubMed |
spelling | pubmed-91662632022-06-21 Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome Athanaselis, Efstratios D Komnos, Georgios Deligeorgis, Dimitrios Hantes, Michael Karachalios, Theofilos Malizos, Konstantinos N Varitimidis, Sokratis Strategies Trauma Limb Reconstr Original Article PURPOSE: This is a retrospective cohort study of type C distal humeral fractures (AO classification system) aimed at evaluating the effectiveness of current operative treatment options. MATERIALS AND METHODS: Thirty-seven patients with type C distal humeral fractures, treated operatively from January 2002 to September 2016, were retrospectively studied. Thirty-two were eligible for inclusion. Patients were treated by open reduction using the posterior approach, olecranon osteotomy and parallel-plate two-column internal fixation. Patients were evaluated for fracture healing, functional outcomes and complications (infection, ulnar neuropathy, heterotopic ossification and need for implant removal). Restoration of the normal anatomy was defined by measuring carrying angle, posterior angulation and intercondylar distance of distal humerus. RESULTS: The mean follow-up time was 8.7 years [range 2–15.5 years, standard deviation (SD) = 3.96]. Mean time to fracture union was 8 weeks for 29 patients (90.6%) (range, 6–10 weeks). In nine cases, there was malunion of varied importance (28.1%). There was one case with postoperative ulnar neuropathy and one case with deep infection. The mean Disabilities of the Arm, Shoulder and Hand (DASH) score and mean Mayo Elbow Performance Score (MEPS) were 20 (range 0–49) and 83.3 (range 25–100), respectively. CONCLUSION: In complex distal humerus fractures, the posterior approach with olecranon osteotomy and parallel plating of two columns, after anatomic reconstruction of the articular segment, is a prerequisite for successful elbow function. HOW TO CITE THIS ARTICLE: Athanaselis ED, Komnos G, Deligeorgis D, et al. Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome. Strategies Trauma Limb Reconstr 2022;17(1):7–13. Jaypee Brothers Medical Publishers 2022 /pmc/articles/PMC9166263/ /pubmed/35734034 http://dx.doi.org/10.5005/jp-journals-10080-1546 Text en Copyright © 2022; The Author(s). https://creativecommons.org/licenses/by-nc-sa/4.0/© The Author(s). 2022 Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-share alike license (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as original. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Original Article Athanaselis, Efstratios D Komnos, Georgios Deligeorgis, Dimitrios Hantes, Michael Karachalios, Theofilos Malizos, Konstantinos N Varitimidis, Sokratis Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome |
title | Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome |
title_full | Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome |
title_fullStr | Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome |
title_full_unstemmed | Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome |
title_short | Double Plating in Type C Distal Humerus Fractures: Current Treatment Options and Factors that Affect the Outcome |
title_sort | double plating in type c distal humerus fractures: current treatment options and factors that affect the outcome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9166263/ https://www.ncbi.nlm.nih.gov/pubmed/35734034 http://dx.doi.org/10.5005/jp-journals-10080-1546 |
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