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

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

Authors

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

Keywords:

lateral column plate, distal humerus, extra-articular fractures, single column plate

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.

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How to Cite

Outcomes of Lateral Column Plating in Extra-Articular Distal Humerus Fractures. (2019). Global Journal of Medical Research, 19(H2), 27-41. https://medicalresearchjournal.org/index.php/GJMR/article/view/1802

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References

T C John, M Debkowska, F Liporace, G Bryan, Beutel, E Elamed (2014) Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate. 38(5), 1037-1043.

R Ekholm, J Adami, J Tidermark, K Hansson, H Törnkvist, S Ponzer (2006) Fractures of the shaft of the humerus. 88-B(11), 1469-1473.

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. 23(2), 251-257.

S Aggarwal, V Kumar, K Bhagwat, P Behera (2014) AO extraarticular distal humerus locking plate: extended spectrum of usage in intra-articular distal fractures with metaphyseal extension-our experience with 20 cases. 24(4), 505-511.

Nirmal Tejwani, Anjali Murthy, Jason Park, Toni Mclaurin, Kenneth Egol, Fred Kummer (2009) Fixation of Extra-Articular Distal Humerus Fractures Using One Locking Plate Versus Two Reconstruction Plates: A Laboratory Study. 66(3), 795-799.

H Paris, P Tropiano, B Clouetd, H Chaudet, D Poitout (2000) Least possible fixation techniques of 4-part valgus impacted fractures of the proximal humerus: a systematic review. 8(1), 346-359.

Jonathan Levy, Steven Kalandiak, James Hutson, Gregory Zych (2005) An Alternative Method of Osteosynthesis for Distal Humeral Shaft Fractures. 19(1), 43-47.

Mark Prasarn, Jaimo Ahn, Omesh Paul, Elizabeth Morris, Stephen Kalandiak, David Helfet, Dean Lorich (2011) Dual Plating for Fractures of the Distal Third of the Humeral Shaft. 25(1), 57-63.

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. 16(S02), S73-S79.

Andrew Jawa, Pearce Mccarty, Job Doornberg, Mitch Harris, David Ring (2006) Extra-Articular Distal-Third Diaphyseal Fractures of the Humerus. 88(11), 2343-2347.

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. 7(2), 104-109.

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. 12(1), 1-9.

Deepak Jain, Gurpreet Goyal, Rajnish Garg, Pankaj Mahindra, Mohammad Yamin, Harpal Selhi (2017) Outcome of anatomic locking plate in extraarticular distal humeral shaft fractures. 51(1), 86-92.

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. 25(3), 2309499017727948.

J Self, S Viegas, W J Buford, R Patterson (1995) A comparison of double-plate fixation methods for complex distal humerus fractures. 4(1 Pt 1), 10-16.

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. 44(11), 1620-1624.

Rajendraprasad Butala, Vinit Karn, Shubham Padmawar (2017) Evaluation of extra-articular distal humerus diaphyseal fractures treated with single pre-contoured locking lateral column plating. 3(3g), 440-444.