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Original Research
Online Published: 14 May 2023
 


A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture

Rakesh Kumar, Kumar Kaushik.


Abstract
Background: Surgery for intra-articular distal humeral fractures can be difficult. Total elbow arthroplasty (TEA) versus open reduction and internal fixation (ORIF) for treating elderly patients is still up for debate. In order to compare ORIF with TEA for treating intra-articular distal humerus fractures in patients, this study compared the clinical and functional results.
Methods: Between one and half years at Sri Krishna Medical College Hospital, Muzaffarpur, Bihar, India, 70 willing patients with intra-articular distal humeral fractures who underwent osteosynthesis by orthogonal locking compression plating using posterior approach with olecranon osteotomy participated in a prospective study.
Results: With a mean age of 38.5 years, our study included 38 male patients and 32 female patients. A motor vehicle collision accounted for 65.2% of instances, an accidental fall accounted for 21.7%, and a fall from height accounted for 13%, with the right side being more frequently afflicted (73.9%). The average operation lasted 100 minutes. Following surgery, the Mayo Elbow Performance Score was 83.3 percent, and the mean arc of mobility was 117°. 82% of cases had excellent to good outcomes.
Conclusions: ORIF demonstrated superior results to TEA in patients with intra-articular distal humerus fracture.

Key words: Fracture fixation, Total elbow replacement, Humeral fracture, Treatment outcome Distal humerus, Intra-articular fracture, Orthogonal locking plating, Olecranon osteotomy


 
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Pubmed Style

Kumar R, Kaushik K. A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. Int J Med Rev Case Rep. 2023; 7(7): 1-4. doi:10.5455/IJMRCR.172-1679498487

Web Style

Kumar R, Kaushik K. A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. https://www.mdpub.net/?mno=147179 [Access: April 02, 2025]. doi:10.5455/IJMRCR.172-1679498487

AMA (American Medical Association) Style

Kumar R, Kaushik K. A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. Int J Med Rev Case Rep. 2023; 7(7): 1-4. doi:10.5455/IJMRCR.172-1679498487


Vancouver/ICMJE Style

Kumar R, Kaushik K. A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. Int J Med Rev Case Rep. (2023), [cited April 02, 2025]; 7(7): 1-4. doi:10.5455/IJMRCR.172-1679498487


Harvard Style

Kumar, R. & Kaushik, . K. (2023) A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. Int J Med Rev Case Rep, 7 (7), 1-4. doi:10.5455/IJMRCR.172-1679498487


Turabian Style

Kumar, Rakesh, and Kumar Kaushik. 2023. A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. International Journal of Medical Reviews and Case Reports, 7 (7), 1-4. doi:10.5455/IJMRCR.172-1679498487


Chicago Style

Kumar, Rakesh, and Kumar Kaushik. "A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture." International Journal of Medical Reviews and Case Reports 7 (2023), 1-4. doi:10.5455/IJMRCR.172-1679498487


MLA (The Modern Language Association) Style

Kumar, Rakesh, and Kumar Kaushik. "A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture." International Journal of Medical Reviews and Case Reports 7.7 (2023), 1-4. Print. doi:10.5455/IJMRCR.172-1679498487


APA (American Psychological Association) Style

Kumar, R. & Kaushik, . K. (2023) A prospective study on internal fixation with an orthogonal locking plate and open reduction of an intra-articular distal humerus fracture. International Journal of Medical Reviews and Case Reports, 7 (7), 1-4. doi:10.5455/IJMRCR.172-1679498487


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