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14.Functional Outcome of Distal Humerus Fractures Treated with Open Reduction and Internal Fixation through Bi-Columnar Plating
Muhammad Asghar Essa1, Yousaf Gul2, Inamullah3, Muhammad Zubair Farooq4
and Shafaat Ullah4
ABSTRACT
Objective: Study was purposed for assessment of functional outcomes of distal humerus fractures treated with ORIF using bi-columnar plating.
Study Design: Cross-sectional retrospective study.
Place and Duration of Study: This study was conducted at the Mufti Mehmood Memorial and Teaching Hospital, Dera Ismail Khan, Khyber Pakhtunkhwa, Pakistan from March 2020 to March 2022.
Materials and Methods: We conducted a cross-sectional study of 62 patients who underwent ORIF through bi-columnar plating for distal humerus fractures. Using Mayo Elbow Performance Score (MEPS) questionnaire, functional outcomes of humerus fracture were assessed.
Results: It was found that 82.25% of the patients were male and 17.74% were females (p<0.05). 53.22% patients had a fracture of left humerus and 46.77% had a fracture of the right humerus (p<0.05). 91.93 percent of patients had closed fractures, while 8.07 percent had open fractures (p<0.05). We discovered that 51.61% of patients received an outstanding score on MEPS standard scoring scale, whereby 33.87% were ranked Good, 11.29 percent were fair and only 3.22% of them were ranked as poor. This suggested that majority of patients with distal humerus fractures had favorable outcomes on MEPS standard scoring system.
Conclusion: In the majority of patients, functional outcomes following ORIF through bi-columnar plating are good to outstanding. To confirm our findings, however, additional research with larger sample size and unmitigated follow-up periods is required.
Key Words: Arm disability; Columnar plating; Humerus fracture; Laxation injury; Orthopaedics; Surgery.