Volume : 6, Issue : 6, June - 2017
PARATRICEPITAL APPROACH FOR FIXATION OF DISTAL HUMERUS FRACTURES IN ADULT
Ritwik Ganguli, Priyanka Pahari
Abstract :
<p> <b><span style="font-size:14.0pt;line-height:115%; font-family:"Times New Roman",serif;mso-ansi-language:EN-US">BACKGROUND</span></b><span style="font-size: 14pt; line-height: 115%; font-family: "Times New Roman", serif;">: Distal humerus fractures most commonly managed by surgical approaches that disrupt the extensor mechanism of elbow. Paratricepital approach for distal humerus fracture fixation has been done by orthogonal or parallel plate construct that allows excellent healing of fracture, motion arc of elbow more than 100 degree, and maintains of extensor mechanism strength.</span></p> <p class="MsoNormal"><b><span style="font-size:14.0pt;line-height:115%; font-family:"Times New Roman",serif;mso-ansi-language:EN-US">Material and Methods</span></b><span style="font-size:14.0pt;line-height:115%;font-family: "Times New Roman",serif;mso-ansi-language:EN-US">: 30 cases of distal humerus fractures are fixed by paratricepital posterior approach. Bicolumner fixation done by elevating and retracting the triceps of the distal humerus keeping triceps insertion undisturbed by orthogonal or parallel plate construct. Early active-assisted range of motion initiated within limits of pain. Age group was 15 to 60 years. Among them 21% was type A fracture, 17% type B fracture, 33% type C1 fracture and 29% type C2 fracture. More than 60% of cases have 1 year of follow up. Radiograph and functional evaluation was done by MEPS (Mayo Elbow Performance Score), DASH (Disability of Arm Shoulder and Hand) questionnaire.<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:14.0pt;line-height:115%; font-family:"Times New Roman",serif;mso-ansi-language:EN-US">Results: </span></b><span style="font-size:14.0pt;line-height:115%;font-family:"Times New Roman",serif; mso-ansi-language:EN-US"> All thirty fractures healed primarily. The median arc of elbow motion was 105 degree (range 70 to 140 degree).Average MEPS was 91 points (range 65 to 100) indicating excellent scores,<o:p></o:p></span></p> <p class="MsoNormal"><b><span style="font-size:14.0pt;line-height:115%; font-family:"Times New Roman",serif;mso-ansi-language:EN-US">Conclusion:</span></b><span style="font-size:14.0pt;line-height:115%;font-family:"Times New Roman",serif; mso-ansi-language:EN-US"> Treatment of distal humerus fracture in adults by paratricepital posterior approach results in excellent healing, a mean flexion extensor arc more than 100 degree, maintains of almost normal elbow extensor strength compared with contra lateral normal elbow.<o:p></o:p></span></p>
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Download PDF Journal DOI : 10.15373/2249555XCite This Article:
Ritwik Ganguli, Priyanka Pahari, PARATRICEPITAL APPROACH FOR FIXATION OF DISTAL HUMERUS FRACTURES IN ADULT, GLOBAL JOURNAL FOR RESEARCH ANALYSIS : VOLUME-6 | ISSUE‾6 | JUNE-2017