ABSTRACT
Background: The goal of this study to determine functional outcome of open reduction and internal fixation with Lambda plate for intra/extra articular distal humerus fractures. Methods: 35 patients of communited intra-articular fractures distal humerus were operated. Out of 35, 23 (65%) were male, 12 (35%) were female, mean age of 38 year (range 17-67 years). According to classification proposed by Rise borough and Radin based on radiographic analysis, out of 35, 11 (31%) were type 2, 20(57%) were type 3 and rest of the patients were type 4 fractures. All fractures fixed with Lambda plate, inter- condylar fracture fix with malleolar screw or k-wire or both after trans olecranon osteotomy. Results: Mean follow-up of 11 months (range 6-15 months). Out of 35 patients 29 patients have complete radio-logical union within 4 months. None of the fracture go into non-union. Mean active elbow flexion was 1300 (range 900-1400) and active extension 150 (range 0-300), mean elbow flexion range exceeds 100 degree in 28 patients (80%), was between 600 and 1000 in 6(17%) and was less than 600 in one patient. Mean Mayo Elbow Performance Score (MEPS) was 96 points (range 40-100). There were 30 excellent result (MEPS) 90-100 points, 2 good (75-89) 2 moderate result. Conclusion: Fracture of distal humerus fix with Lambda plate, malleolar screw after trans- olecranon osteotomy gave excellent results in term of fixation, stability and recovery of elbow functions.
ABSTRACT
Background: The goal of this study is to determine functional outcome of Rush-pin fixation for fracture distal third of femur. Methods: 30 Patients of fracture of distal third of femur treated with Rush-pin fixation. Majority of patient belong to 21-40 yr age group (range 8-74 yr.). Out of 30 patient 22 were male and 8 were female. 70% got their injury in road traffic accident. According to Donald classification based on radio-analysis out of 30 patients, 11 were type I, 13 were type II, 6 were type III, 5 were type IV & 5 were type V. All fracture fixed with Rush-Pin, intercondylar fracture fixed with cancellous screw. Results: Majority of patients start full weight bearing at 4 to 5 months. Bursa formation at ends of pin formed in one case. Non-union, delayed union were not found. Flexion more than 100° achieved in 76.6% cases. Two patient had restricted knee movement. 56.6% patients had excellent result, 26.6% had satisfactory result & 6.6% were failure. Conclusions: Patient having transverse fracture of distal third of femur (Donald type II) had better result with rush pin fixation (Eiffel tower fixation) as compared to comminuted fracture or spiral or fracture with intercondylar extension.