Background:To investigate the utility and complications of paratricipital 2 window approach for complex intra articular distal humerus fractures(AO/OTA type C).Methods:Between December 2012 and September 2016,27 patie...Background:To investigate the utility and complications of paratricipital 2 window approach for complex intra articular distal humerus fractures(AO/OTA type C).Methods:Between December 2012 and September 2016,27 patients(male-14,female-13)having mean age of 39 years(range,22-62 years)with closed intra articular fracture(AO/OTA 13 type C)were surgically managed using paratricipital 2 window approach.Fractures were fixed as per AO principles.All patients were followed up for 21 months(range,12-28 months)prospectively.Functional outcome was measured using Mayo Elbow Performance Score(MEPS)and complications were observed.Student ttest,Pearson co-relation coefficient and Kruskal Wallis test used for statistical evaluation.Result:All cases unite by the end of 3 months.Mean flexion achieved was 120°and extension lag was 10°.Mean arc of motion was 111°.Mean pronation and supination was 70°and 77°respectively.MEPS and motion arc were weak negatively co-related with surgical delay and advancement in age.Postoperative transient ulnar nerve palsy and heterotrophic ossification(HO)was noted in 3.7%cases and infection occurred in 7.4%cases.Hardware prominence noted in 11.1%cases.Mean MEPS was 82.MEPS was excellent in 18.5%,good in 62.9%,fair in 11.1%and poor in 7.4%cases.Conclusion:Paratricipital 2 window approach for these fractures had good functional outcome with fewer complications.We advocate paratricipital 2 window approach when dealing with these complex fractures particularly,in type C1 and type C2.展开更多
文摘Background:To investigate the utility and complications of paratricipital 2 window approach for complex intra articular distal humerus fractures(AO/OTA type C).Methods:Between December 2012 and September 2016,27 patients(male-14,female-13)having mean age of 39 years(range,22-62 years)with closed intra articular fracture(AO/OTA 13 type C)were surgically managed using paratricipital 2 window approach.Fractures were fixed as per AO principles.All patients were followed up for 21 months(range,12-28 months)prospectively.Functional outcome was measured using Mayo Elbow Performance Score(MEPS)and complications were observed.Student ttest,Pearson co-relation coefficient and Kruskal Wallis test used for statistical evaluation.Result:All cases unite by the end of 3 months.Mean flexion achieved was 120°and extension lag was 10°.Mean arc of motion was 111°.Mean pronation and supination was 70°and 77°respectively.MEPS and motion arc were weak negatively co-related with surgical delay and advancement in age.Postoperative transient ulnar nerve palsy and heterotrophic ossification(HO)was noted in 3.7%cases and infection occurred in 7.4%cases.Hardware prominence noted in 11.1%cases.Mean MEPS was 82.MEPS was excellent in 18.5%,good in 62.9%,fair in 11.1%and poor in 7.4%cases.Conclusion:Paratricipital 2 window approach for these fractures had good functional outcome with fewer complications.We advocate paratricipital 2 window approach when dealing with these complex fractures particularly,in type C1 and type C2.
