Fractures of Distal Humerus Operated with Using Lambda Plate
Loading...
Date
2018-10
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Ibn Sina Academy of Medieval Medicine & Sciences
Abstract
Background: The goal of this study to determine functional outcome of open reduction and internal fixation with Lambda plate for intra/extra articular distal humerus fractures. Methods: 35 patients of communited intra-articular fractures distal humerus were operated. Out of 35, 23 (65%) were male, 12 (35%) were female, mean age of 38 year (range 17-67 years). According to classification proposed by Rise borough and Radin based on radiographic analysis, out of 35, 11 (31%) were type 2, 20(57%) were type 3 and rest of the patients were type 4 fractures. All fractures fixed with Lambda plate, inter- condylar fracture fix with malleolar screw or k-wire or both after trans olecranon osteotomy. Results: Mean follow-up of 11 months (range 6-15 months). Out of 35 patients 29 patients have complete radio-logical union within 4 months. None of the fracture go into non-union.
Mean active elbow flexion was 1300 (range 900-1400) and active extension 150 (range 0-300), mean elbow flexion range exceeds 100 degree in 28 patients (80%), was between 600 and 1000 in 6(17%) and was less than 600 in one patient. Mean Mayo Elbow Performance Score (MEPS) was 96 points (range 40-100). There were 30 excellent result (MEPS) 90-100 points, 2 good (75-89) 2 moderate result. Conclusion: Fracture of distal humerus fix with Lambda plate, malleolar screw after trans- olecranon osteotomy gave excellent results in term of fixation, stability and recovery of elbow functions.
Description
Keywords
Fracture, Distal Humerus, Plate.
Citation
Singh Shiv Pal. Fractures of Distal Humerus Operated with Using Lambda Plate. International Archives of BioMedical and Clinical Research. 2018 Oct-Dec; 4(4): 49-50