| Surgical fixation of intra-articular fractures of the distal humerus in adults. | |
| | |
MedLine Citation:
|
PMID: 14728954 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
J L Soon; B K Chan; C O Low |
Related Documents
:
|
21829124 - Serial casting for the management of ankle contracture in duchenne muscular dystrophy. 21057334 - Results of volar locking plate osteosynthesis for distal radial fractures. 22270734 - Fluoroscopic cervical interlaminar epidural injections in managing chronic pain of cerv... 22016874 - Complications of anticoagulation for thromboembolism in early postoperative total joint... 16876524 - Combined photodynamic therapy and intravitreal triamcinolone acetonide for the treatmen... 12736024 - Ventral onlay urethroplasty using buccal mucosa for complex stricture repair. |
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 |
Affiliation:
|
Department of Orthopaedic Surgery, Changi General Hospital, 2 Simei Street 3, Singapore 529889, Singapore [corrected]. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Aged, 80 and over Bone Plates Female Follow-Up Studies Fracture Fixation, Internal / adverse effects, methods*, rehabilitation Humans Humeral Fractures / radiography, rehabilitation, surgery* Male Middle Aged Paralysis / etiology Patient Satisfaction Range of Motion, Articular Reoperation Retrospective Studies Treatment Outcome Ulnar Nerve / injuries |
| Comments/Corrections | |
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 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Bacterial translocation, endotoxaemia and apoptosis following Pringle manoeuvre in rats.
Next Document: Delayed and non-union of the humeral diaphysis--compression plate or internal plate fixator?