Sanjiv Kumar1, Sudhir Singh2, Dharmender Kumar3, Neeraj Kumar4, Reetu Verma5. 1. Assistant Professor, Department of Orthopaedics, Era's Lucknow Medical College & Hospital , Lucknow, India . 2. Professor & Head, Department of Orthopaedics, Era's Lucknow Medical College & Hospita , Lucknow, India . 3. Assistant Professor, Department of Orthopaedics, Era's Lucknow Medical College & Hospita , Lucknow, India . 4. Junior Resident Department of Orthopaedics, Era's Lucknow Medical College & Hospita , Lucknow, India . 5. Assistant Professor, Department of Anaesthesiology, KGMU , Lucknow, India .
Abstract
BACKGROUND: Intercondylar fracture of humerus is one of the commonest fractures of young adult and counts for about 30% of all elbow fractures. The treatment of these fractures continues to present challenges despite advances in internal fixation. Although orthogonal plating use to provid adequate functional results in these fractures, parallel plating is said to be mechanically more stable construct thus allowing early mobilization and better range of motion. AIM: AIM of the study is to assess the clinical as well functional results of these fractures treated with parallel plating. STUDY AND DESIGN: Prospective study in a tertiary care hospital. MATERIALS AND METHODS: A total of 23 fresh patients of intercondylar fracture of humerus from Jan 2013 to May 2014 were included in the study and were treated with parallel plating. These patients were followed at 3, 6, 12, 24 weeks and at 1year of follow up and assessed in terms of time for union, range of motion, MAYO score, DASH score and complication rate. RESULTS: At final follow up Mayo score was 96.32±04.96 from 5.00±01.26 and DASH SCORE was 31.42±2.04 which dropped from 150±05.34, Range of motion improved from 21.38±05.70 to 116.1±07.92 with 100% union rate and complications less than 19%. CONCLUSION: Parallel plating for intercondylar fracture of humerus is excellent method of fixation and results are similar to those treated with orthogonal plating.
BACKGROUND:Intercondylar fracture of humerus is one of the commonest fractures of young adult and counts for about 30% of all elbow fractures. The treatment of these fractures continues to present challenges despite advances in internal fixation. Although orthogonal plating use to provid adequate functional results in these fractures, parallel plating is said to be mechanically more stable construct thus allowing early mobilization and better range of motion. AIM: AIM of the study is to assess the clinical as well functional results of these fractures treated with parallel plating. STUDY AND DESIGN: Prospective study in a tertiary care hospital. MATERIALS AND METHODS: A total of 23 fresh patients of intercondylar fracture of humerus from Jan 2013 to May 2014 were included in the study and were treated with parallel plating. These patients were followed at 3, 6, 12, 24 weeks and at 1year of follow up and assessed in terms of time for union, range of motion, MAYO score, DASH score and complication rate. RESULTS: At final follow up Mayo score was 96.32±04.96 from 5.00±01.26 and DASH SCORE was 31.42±2.04 which dropped from 150±05.34, Range of motion improved from 21.38±05.70 to 116.1±07.92 with 100% union rate and complications less than 19%. CONCLUSION: Parallel plating for intercondylar fracture of humerus is excellent method of fixation and results are similar to those treated with orthogonal plating.
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