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RMJ. 2020; 45(1): 111-114

Outcome of precontoured locking compression plate in patients with distal humerus intra-articular fracture

Asif Ali Jatoi, Muhammad Tahir Lakho, Muhammad Azfar Khanzada, Aijaz Ali Shaikh, Zulfiqar Ali Memon, Anis Uddin Bhatti.

Objective: To determine the outcome of a precontoured locking compression plate in patients with distal humerus intra-articular fracture.
Methodology: From January to December 2018, patients with distal humerus intraarticular fracture who underwent open reduction and fixation with a precontoured blocked plate were included in this study. The final union and functional outcomes were assessed at 12 weeks. Radiological union and functional outcomes of good to excellent performance were considered as an acceptable outcome. The presence of dense callus at the fracture site and disappearance of the fracture line on X-ray was taken as a union. The functional outcome was assessed by Mayo Elbow Performance Score.
Results: Out of 84 patients, 50 (60%) were male and the mean age of the patients was 42.557.26 years. Excellent, good, satisfactory and poor outcome was observed in 48(57.1%), 25(29.8%), 7(8.3%) and 4(4.8%) patients, respectively. The radiological union was found in 80(95.2%) patients and acceptable outcomes in 73(86.9%) patients. Poor outcome was associated with older age (>45 years), female gender, and presence of diabetes with p-values of 45 years), female gender, and presence of diabetes mellitus.

Key words: Intra-articular fractures, distal humerus, Precontoured Locking Compression Plate.

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