Document Detail

Surgical fixation of intra-articular fractures of the distal humerus in adults.
MedLine Citation:
PMID:  14728954     Owner:  NLM     Status:  MEDLINE    
We reviewed 15 adult patients with intra-articular fractures of the distal humerus treated over a period of 2 years. All patients underwent primary open reduction and internal fixation, which included 11 double plating procedures. The fractures were classified according to the AO/ASIF system. Patient outcome was assessed subjectively by scoring the patients' residual symptom of pain and their overall satisfaction of the treatment received. Objective assessment was performed using the Mayo Elbow Performance Index (range of motion, assessment of functional status, pain and stability of the joint). At a mean follow-up of 12.3 months, 7 patients were rated as excellent; 6, as good; one, as fair; and one, as poor. These cases had an average arc of flexion of 109.7 degrees. The sub-group of type C fractures without revision surgery had a mean flexion arc of 110.7 degrees (95-140 degrees ), with 100% Good to Excellent scores. Complications included two post-operative ulnar nerve neuropraxia, one wound infection, and one fracture fibrous non-union. Three patients required revision surgery which included a total elbow arthroplasty for implant failure, whilst four patients (including the patient with the subsequent arthroplasty) required joint mobilisation procedures for residual stiffness.
J L Soon; B K Chan; C O Low
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Injury     Volume:  35     ISSN:  0020-1383     ISO Abbreviation:  Injury     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2004-01-19     Completed Date:  2004-04-01     Revised Date:  2005-06-30    
Medline Journal Info:
Nlm Unique ID:  0226040     Medline TA:  Injury     Country:  England    
Other Details:
Languages:  eng     Pagination:  44-54     Citation Subset:  IM    
Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore [corrected].
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MeSH Terms
Aged, 80 and over
Bone Plates
Follow-Up Studies
Fracture Fixation, Internal / adverse effects,  methods*,  rehabilitation
Humeral Fractures / radiography,  rehabilitation,  surgery*
Middle Aged
Paralysis / etiology
Patient Satisfaction
Range of Motion, Articular
Retrospective Studies
Treatment Outcome
Ulnar Nerve / injuries
Comment In:
Injury. 2005 Mar;36(3):462   [PMID:  15710168 ]
Injury. 2005 Jun;36(6):804-5   [PMID:  15910838 ]
Erratum In:
Injury. 2004 Sep;35(9):954

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