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Volume 4 Issue 3 (July 2015)

Original Articles

Assessment of management of distal humeral shaft fractures with locking compression plate
Harish Kumar, K.P. Panday

Background: Fractures of the proximal humerus represent approximately 4% of all fractures and 26% of humerus fractures. For a successful functional outcome and early rehabilitation, alignment restoration and secure fixation are essential. Aims and objectives: The present study assessed the management of distal humeral shaft fractures with a locking compression plate (LCP). Materials and Methods: This prospective cohort study was conducted on 84 distal humeral shaft fractures of both genders, and parameters such as kind of fracture, weeks needed for union, Mayo Elbow Performance Score (MEPS), UCLA, related injuries, and consequences were recorded. Results:Out of 84 patients, males were 52 and females were 32. Fracture type was 12-A3 in 8, 12-B1 in 12, 12-B2 in 28, 12-B3 in 20, 12-C2 in 12, and 12-C3 in 6. Associated injuries were open fracture tibia in 3, abdominal trauma in 1, and ipsilateral DRUJ injury in 2 cases. The complications found were PIN injury in 2 cases, radial nerve palsy in 1 case, and wound infection in 3 cases. The difference was not significant (P > 0.05). The time to union was 23.7 weeks, the UCLA score was 36, and the Mayo Elbow Performance Score (MEPS) was 95.3. The difference was significant (P < 0.05). Conclusion: A useful technique for treating extraarticular distal humeral fractures is the locking compression plate.

 
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