Abstract

Background: Open reduction and internal fixation utilizing two plates giving bicolumnar adjustment has been a proven strategy of management with excellent clinical results. There are various schools of work regards plate position. The generally utilized dual plating procedure includes perpendicular plating, equal plating and Y plating.

Aim: To determine the outcome of pre-countoured parallel plates in patients for treatment of bicoloumnar type C fractures of distal humerus in adults

Methodology: This descriptive, case series study was carried out in the Department of Orthopedic Surgery at Shaikh Zayed Hospital Lahore from 21st December 2017 to 20th June 2018. Total 72 type C intraarticular fractures of distal humerus according to AO/OTA classification within one week of initial injury, 20-55 years of age of both genders were selected. Patients with ipsilateral fractures of upper limb, pre-existing conditions of elbow joint e.g. advanced osteoarthritis, infective arthritis, gouty arthritis were excluded. In each patient fracture was treated with precontour parallel plates. The patient was followed in outpatient department for wound examination and stitch removal after 2 weeks. Further follow up was at 4 weeks 3 months and 6 months.

Results: Mean age was 37.76±8.57 years. Out of 72 patients, 53 (73.61%) were males and 19 (26.39%) were females with male to female ratio of 2.8:1. In this study, the excellent outcome was seen in 41 (56.94%) patients, good in 21 (29.17%) patients, fair in 6 (8.33%) and poor outcome in 4 (5.56%) patients.

Conclusion: This study concluded that outcome of pre-countoured parallel plates in patients for treatment of bicoloumnar type C fractures of distal humerus in adults is excellent.

Keywords: Distal Humerus Fracture, Pre-Countoured Parallel Plates, Outcome.