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Volume 4 Issue 6 (November - December, 2016)

Original Articles

Assessment of clinical and functional outcome of distal humerus fractures
Keshav Gupta, Sanjay Kumar

Background: Distal humerus fractures constitute 2% of all fractures in the adult population. The injuries are distributed in a bi-modal fashion with the first peak being seen in the young resulting from high-energy trauma. The present study was conducted to assess clinical and functional outcome of distal humerus fractures. Materials & Methods: 74 cases of distal humerus intraarticular fractures AO type 13C were included. Osteosynthesis was performed through posterior triceps-sparing paratricipital approach using orthogonal plate constructs. Results: Out of 74 patients, males were 44 and females were 30. The mean elbow flexion was 120.4 degree, supination was 78.2 degree, arc of motion was 113.8 degree, flexion deformity was 6.14 degree, ROM in C1 was 128.2 degree, in C 2 was 120.4 degree and in C 3 was 96.3 degree. Functional range was present in 60 and functional range was absent in 14 patients. The difference was significant (P< 0.05). Conclusion: Open reduction and internal fixation of intraarticular distal humerus fractures with triceps-sparing paratricipital approach provide better clinical and functional outcome. Key words: Humerous, Open reduction, Internal fixation

 
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