Rafi Ullah, Javed Iqbal, Anwar Imran, Ashfaq Ahmed, Muhammad Imran Javed, Sadaf Saddiq, Naeem Ahmed.
Functional outcome of open reduction internal fixation of distal humerus intraarticular fracture using recon plates.
Pak J Surg Jan ;36(1):66-70.

Background: Distal humerus fractures are challenging to manage successfully, even for the most experienced surgeon because of the complex anatomy. These fractures are often associated with comminution, displacement, and osteopenia. Objective: To assess the functional outcome of open reduction internal fixation of distal humerus, intra-articular fracture using recon plates. Material and Methods: This was a retrospective study conducted in the Department of Orthopaedic & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore over 4-years (April 2015- April 2019). The functional outcome was assessed using the Mayo Elbow Performance Score. 50 patients were included in this study. Data were entered and analyzed using SPSS version 22. Results: In this study, the majority were males as 33(66%), and 17(34%) were females with an average age of 32.92+-9.79 years ranged from 17-65 years. The minimum follow up time was 3-months, the mechanism of injury was RTA in the majority of cases. Mean union time was 10-weeks. The mean MEPS score was 89.70 ranged from (45-100) poor to excellent. Th e results indicated that more than half of the patients reported excellent outcome (56%) as compared to those group of patients with good outcome identified as 22%, 7-patients assessed with fair outcome 2-male and 2-female patients reported the poor outcome The insignificant association was obtained between gender and functional outcome as p-value>0.05. Conclusion: The study concluded that the use of elbow reconstruction using recon plates for the fixation of complex intra or extra-articular fracture is a safe and effective surgical procedure for early recovery and early immobilization.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com