Functional Outcome Of Treatment Of Intra Articular Distal Humerus Fracture With Open Reduction And Internal Fixation By Bicolumnar Locking Plate

Abstract

AIMS AND OBJECTIVES 1. To assess the functional outcome and to study the results, complications of the surgery after surgical management of intra-articular fracture of distal humerus. 2. To assess the range of movements, pain and union. MATERIAL AND METHODS A prospective study was done to evaluate the functional outcome of bicolumnar locking plating technique in treatment of distal humeral fracture and to analyse the results. The study group consists of 23 Patients with distal humeral fracture, who underwent osteosynthesis with bicolumnar locking plating technique between 1st November 2017 - 31st May 2019 at ______________________ Medical College, ____________, _____________. RESULTS In our study of 23 cases, there were 15 male and 8 female patients with mean age of 38.5 years. 65.2% of the cases admitted were due to motor vehicle accident, 21.7% due to accidental fall and 13% due to fall from height with right side (73.9%) being more commonly affected side. Mayo Elbow Performance Score was 83.3% in our study and the mean arc of motion was 107°. Satisfactory rate of 82% was achieved with this study. CONCLUSION Our study concludes that bicolumnar locking plating in patients with intra-articular distal humerus fracture resulted in good to excellent functional outcome in avbout 82% cases in our study with 107 of mean arc of motion and stability. Absence of implant failure and non-union may be attributed to the highly stable construct systemachieved by bicolumnar locking plating. Hence bicolumnar locking plating can be used as a successful technique for internal fixation of these complicated fracture.