Vol. 6 | Issue 1 | July-December 2021 | page: 10-13 | P. Manoj Sai Kumar, Suresh Babu CR, Sai Laxman Anne
Authors: P. Manoj Sai Kumar , Suresh Babu CR , Sai Laxman Anne 
 Department of Orthopaedics, KIMS Hospitals, Kondapur, Hyderabad, Andhra Pradesh, India.
Address of Correspondence
Dr. P. Manoj Sai Kumar,
Department of Orthopaedics, KIMS Hospitals, Kondapur, Hyderabad, Andhra Pradesh, India.
Background: Distal humerus fractures constitute 2% of all fractures in the adult population. Surgical intervention is indicated in most cases, and these fractures are often complicated by difficulty in fracture-site exposure, comminution in the metaphyseal or articular region, and the presence of osteoporotic bone. The objective of the study was to assess functional outcome of operative fixation of distal humerus with locking plate and screws
Materials And Methods: This is a retrospective study of 30 patients with distal humerus fractures fixed with orthogonal plating from 2018-2019 in KIMS Hospitals, Kondapur, Hyderabad. Functional outcome was assessed using Mayo Elbow Performance score along with other major and minor complications were noted.
Results: There were 18 male patients and 12 female patients. Average age of the patients was 39.68 years with age ranging from 18 years to 80 years.16 cases were right humerus and 14 were left humerus involved. All cases we operated through trans olecrenon approach and chevron osteotomy technique, fracture stabilised by orthogonal locking compression plate. 6 fractures were C1, 15 were C2 and 9 were C3 types according to AO classification. Complications were noted in 5 patients. 13.3% patients were rated as excellent, 63.3% were rated good, 16.6% were rated as fair, 6.8% were rated as poor according to Mayo Elbow Performance Scoring.
Conclusion: Orthogonal dual plate configurations can provide anatomical reconstruction and stable fixation of Type C intra articular distal humeral fractures and allow early mobilization of the elbow after surgery which result in good functional outcome
Keywords: Distal humerus fractures, Trans Olecrenon, Chevron Osteotomy, MEP score.
 James C. Beazley, Njalalle Baraza*, Robert Jordan, et al: Distal humerus fractures current concepts.
 Robinson CM, Hill RM, Jacobs N, Dall G, et al. Adult distal humeral metaphyseal fractures: Epidemiology and results of treatment. J Orthop Trauma 2003; 17(1): 38-47.
 Morrey BF, Askew LJ, Chao EY. A biomechanical study of normal functional elbow motion. J Bone Joint Surg Am 1981; 63(6): 872-7.
 McKee MD, Jupiter JB. Fractures of the distal humerus 3rd ed. 2002; 765-82.
 McKee MD, Wilson TL, Winston L, et al. Functional outcome following surgical treatment of intra-articular distal humeral fractures through a posterior approach,J Bone Joint Surg Am 2000; 82-A(12): 1701-7.
 Doornberg JN, van Duijn PJ, Linzel D, et al. Surgical treatment of intra-articular fractures of the distal part of the humerus. Functional outcome after twelve to thirty years. J Bone Joint Surg Am 2007; 89(7): 1524-32.
 Gabel GT, Hanson G, Bennett JB, Noble PC, Tullos HS. Intraarticular fractures of the distal humerus in the adult. Clin Orthop Relat Res 1987; (216): 99-108.
 Fornasiéri C, Staub C, Tourné Y, Rumelhart C, Saragaglia D. Biomechanical comparative study of three types of osteosynthesis in the treatment of supra and intercondylar fractures of the humerus in adults. Rev Chir Orthop Repar Appar Mot 1997; 83(3): 237-42.
 Sang Ki Lee • Kap Jung Kim • Kyung Hoon Park • Won Sik Choy A comparison between orthogonal and parallel plating methods for distal humerus fractures: a prospective randomized trial.
 Jacobson SR, Glisson RR, Urbaniak JR (1997) Comparison of distal humerus fracture fixation: a biomechanical study. J South Orthop Assoc 6:241–249.
 Self J, Viegas SF, Buford WL Jr, Patterson RM (1995) A comparison of double-plate fixation methods for complex distal humerus fractures. J Shoulder Elbow Surg 4:10–16.
 Sunil B, Avulapati SK, Chaudhary SK et al. Functional outcome evaluation of distal humerus fracture fixation. Int J Res Orthop 2020;6:467-70.
 Ring D, Jupiter JB (2000) Fractures of the distal humerus. Orthop Clin North Am 31:103–113.
 Hausman M, Panozzo A (2004) Treatment of distal humerus fractures in the elderly. Clin Orthop Relat Res 425:55–63.
 Marsh JL, Slongo TF, Agel J, Broderick JS, Creevey W, DeCoster TA, Prokuski L, Sirkin MS, Ziran B, Henley B, Audige L (2007) Fracture and dislocation classification compendium— 2007: Orthopaedic Trauma Association classification, database and outcomes committee. J Orthop Trauma 21:S1–S13.
 Wilkinson JM, Stanley D. Posterior surgical approaches to the elbow: A comparative anatomic study. J Shoulder Elbow Surg 2001; 10(4): 380-2.
 SiddharthRashmikant Virani1, SandeepSonone 2, AdityaAnandDahapute 3, Inayat Panda 4, KunalDwijen Roy. Functional Results of CommunitedIntraarticular Distal Humerus Fractures Treated with Bicolumnar Plating, 2017, 11(4).
 Papaioannou N, Babis GC, Kalavritinos J, Pantazopoulos T. Operative treatment of type C intra-articular fractures of the distal humerus: The role of stability achieved at surgery on final outcome. Injury 1995; 26(3): 169-73.
 Stoffel K, Cunneen S, Morgan R, Nicholls R, Stachowiak G. Comparative stability of perpendicular versus parallel double-locking plating systems in osteoporotic comminuted distal humerus fractures. J Orthop Res 2008; 26(6): 778-84.
 Arnander MW, Reeves A, MacLeod IA, Pinto TM, Khaleel A. A biomechanical comparison of plate configuration in distal humerus fractures. J Orthop Trauma 2008; 22(5): 332-6.
 Schemitsch EH, Tencer AF, Henley MB. Biomechanical evaluation of methods of internal fixation of the distal humerus. J Orthop Trauma 1994; 8(6): 468-75.
 Shin SJ, Sohn HS, Do NH. A clinical comparison of two different double plating methods for intraarticular distal humerus fractures. J Shoulder Elbow Surg 2010; 19(1): 2-9.
 Lee SK, Kim KJ, Park KH, Choy WS. A comparison between orthogonal and parallel plating methods for distal humerus fractures: A prospective randomized trial. Eur J Orthop Surg Traumatol 2014; 24(7): 1123-31.
 Frigg R. Locking compression plate (LCP). An osteosynthesis plate based on the dynamic compression plate and the point contact fixator (PC-fix). Injury 2001; 32(Suppl. 2): 63-6.
 Korner J, Diederichs G, Arzdorf M, et al. A biomechanical evaluation of methods of distal humerus fracture fixation using locking compression plates versus conventional reconstruction plates. J Orthop Trauma 2004; 18(5): 286-93.
 Stoffel K, Cunneen S, Morgan R, Nicholls R, et al: Comparative stability of perpendicular versus parallel double-locking plating systems in osteoporotic comminuted distal humerus fractures. J Orthop Res 26:778–784.
 Schwartz A, Oka R, Odell T, Mahar A: Biomechanical comparison of two different periarticular plating systems for stabilization of complex distal humerus fractures. Clin Biomech 21:950–955.
 Got C, Shuck J, Biercevicz A, Paller D, et al: Biomechanical comparison of parallel versus 90–90 plating of bicolumn distal humerus fractures with intra-articular comminution. J Hand Surg Am 37:2512–2518.
|How to Cite this Article: P. Manoj Sai Kumar, Suresh Babu CR, Anne S | Functional Outcomes of Distal Humerus Fractures Fixed by Orthogonal Double Plating | Journal of Orthopaedic and Rehabilitation | July-December 2021; 6(1): 10-13.|