Outcomes of Lateral Column Plating in Extra-Articular Distal Humerus Fractures

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Dr. Anuj Induprakash Gajbhiye
Dr. Anuj Induprakash Gajbhiye
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Dr. R Dorai Kumar
Dr. R Dorai Kumar
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Dr. Mohan Choudhary
Dr. Mohan Choudhary

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Outcomes of Lateral Column Plating in Extra-Articular Distal Humerus Fractures

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Abstract

Background: Distal humerus extra-articular fractures are rare injuries conventionally fixed with stable bi-columnar fixation. It requires extensive soft tissue stripping leading to delayed recovery, and Olecranon impingement as a frequent complication hampering elbow extension; without considering the damage caused by excessive soft tissue stripping, both intra-articular and extra-articular fractures are managed in the same way. In extra-articular distal humerus fractures it’s not needed, and additional soft tissue stripping, olecranon impingement or need of olecranon osteotomy is eliminated by using single lateral column plate. The purpose of this study is to evaluate the clinical, functional and radiological outcome of lateral column plating in distal humerus extra-articular fractures in relation to patient benefits. With recent advances in the field of implant manufacturing, and their availability: single column plate with better strength, and designs are promising enough to provide equivalent fracture stabilization (7) (8), avoids olecranon impingement/osteotomy; with less surgical exposure, thereby helping in quicker recovery, and reduced rehabilitation time.

References

17 Cites in Article
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  2. R Ekholm,J Adami,J Tidermark,K Hansson,H Törnkvist,S Ponzer (2006). Fractures of the shaft of the humerus.
  3. J Scolaro,V Pramod,A Makani,S Namdari,A Mirza,S Mehta (2014). Surgical fixation of extra-articular distal humerus fractures with a posterolateral plate through a triceps-reflecting technique.
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  9. Jan Korner,Helmut Lill,Lars Müller,Martin Hessmann,Klaus Kopf,Jörg Goldhahn,Oliver Gonschorek,Christoph Josten,Pol Rommens (2005). Distal humerus fractures in elderly patients: results after open reduction and internal fixation.
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  11. H Fawi,J Lewis,P Rao,D Parfitt,K Mohanty,A Ghandour (2015). Distal third humeri fractures treated using the Synthes™ 3.5-mm extra-articular distal humeral locking compression plate: Clinical, radiographic and patient outcome scores.
  12. Y Kharbanda,Y Tanwar,V Srivastava,V Birla,A Rajput,R Pandit (2017). Retrospective analysis of extraarticular distal humerus shaft fractures treated with the use of pre-contoured lateral columnmetaphyseal LCP by triceps-sparing posterolateral approach.
  13. Deepak Jain,Gurpreet Goyal,Rajnish Garg,Pankaj Mahindra,Mohammad Yamin,Harpal Selhi (2017). Outcome of anatomic locking plate in extraarticular distal humeral shaft fractures.
  14. V Trikha,P Agrawal,S Das,S Gaba,A Kumar (2017). Functional outcome of extra-articular distal humerus fracture fixation using a single locking plate: A retrospective study.
  15. J Self,S Viegas,W J Buford,R Patterson (1995). A comparison of double-plate fixation methods for complex distal humerus fractures.
  16. Gregory Meloy,Matthew Mormino,Peter Siska,Ivan Tarkin (2013). A paradigm shift in the surgical reconstruction of extra-articular distal humeral fractures: Single-column plating.
  17. Rajendraprasad Butala,Vinit Karn,Shubham Padmawar (2017). Evaluation of extra-articular distal humerus diaphyseal fractures treated with single pre-contoured locking lateral column plating.

Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

Dr. Anuj Induprakash Gajbhiye. 2019. \u201cOutcomes of Lateral Column Plating in Extra-Articular Distal Humerus Fractures\u201d. Global Journal of Medical Research - H: Orthopedic & Musculoskeletal System GJMR-H Volume 19 (GJMR Volume 19 Issue H2): .

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

Keywords
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GJMR-H Classification: NLMC Code: WE 175
Version of record

v1.2

Issue date

May 31, 2019

Language
en
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Background: Distal humerus extra-articular fractures are rare injuries conventionally fixed with stable bi-columnar fixation. It requires extensive soft tissue stripping leading to delayed recovery, and Olecranon impingement as a frequent complication hampering elbow extension; without considering the damage caused by excessive soft tissue stripping, both intra-articular and extra-articular fractures are managed in the same way. In extra-articular distal humerus fractures it’s not needed, and additional soft tissue stripping, olecranon impingement or need of olecranon osteotomy is eliminated by using single lateral column plate. The purpose of this study is to evaluate the clinical, functional and radiological outcome of lateral column plating in distal humerus extra-articular fractures in relation to patient benefits. With recent advances in the field of implant manufacturing, and their availability: single column plate with better strength, and designs are promising enough to provide equivalent fracture stabilization (7) (8), avoids olecranon impingement/osteotomy; with less surgical exposure, thereby helping in quicker recovery, and reduced rehabilitation time.

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Outcomes of Lateral Column Plating in Extra-Articular Distal Humerus Fractures

Dr. Anuj Induprakash Gajbhiye
Dr. Anuj Induprakash Gajbhiye
Dr. R Dorai Kumar
Dr. R Dorai Kumar
Dr. Mohan Choudhary
Dr. Mohan Choudhary

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