Distal Humerus-Precontoured Parallel Plate Fixation of AO/OTA Type CDistal Humerus Fractures

Precontoured Parallel Plate Fixation of AO/OTA Type CDistal Humerus Fractures

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This study aimed to determine the clinical effectiveness of using precontoured parallel plating for the management of distal humerus fractures. The study involved 37 patients with distal humerus fractures who underwent open reduction and internal fixation with a precontoured bicolumn parallel plating system. The main outcome measurements included range of motion, Mayo Elbow Performance Score (MEPS), Disabilities of the Arm, Shoulder and Hand Score (DASH), complication rate, and radiographic evaluation.<br /><br />The results showed that at a follow-up of 27 months, the mean arc of elbow flexion-extension motion was 97 degrees. The mean MEPS was 82 points and the mean DASH score was 24 points. All distal humerus fractures healed, and there were no implant failures. However, there were a total of 24 complications in 17 patients, including postoperative nerve injuries and wound problems. Patient counseling was deemed paramount due to the high complication rate.<br /><br />In conclusion, the study found that open reduction and internal fixation with a precontoured parallel plating system is an effective treatment method for distal humerus fractures. However, the high complication rate suggests the need for vigilance on the part of the surgeon to avoid intraoperative complications and for thorough patient counseling.

Keywords

clinical effectiveness

precontoured parallel plating

distal humerus fractures

open reduction

internal fixation

complication rate

elbow flexion-extension motion

MEPS

DASH score

patient counseling