Harsukh Educational Charitable Society International Journal of Community Health and Medical Research
Volume 5 Issue 4 Oct-Dec 2019
|Assessment of efficacy of Precontoured locking plates in patients with distal humerus fractures|
|Subeg Singh, Sandeep Singh, Amit Sharma, Mandeep Mittal|
The comminuted fracture of distal humerus has remained one of the most difficult fractures to manage.1 When significant bone loss precludes an anatomic reduction, a nonanatomic reconstruction that is stable and achieves all the four above cited objectives will be the preferred choice. It is a well-known fact that fractures are capable of uniting without human assistance. In terms of union the results can be good but from the point of view of functional recovery, the results are suboptimal because of incongruity, joint stiffness and malalignment.2- 4 Surgical management of distal humerus fractures was initially unpredictable, with poor outcomes. With subsequent advances in hardware and techniques, nonsurgical management of distal humerus fractures is mainly reserved for medically unstable older patients, those with limited arm function (e.g., paralysis), and some nondisplaced fractures. Results of all methods except open reduction and internal fixation, have been disappointing. All the surgical methods have some limitations to achieve perfect anatomical reduction due to the complex anatomy of the lower end of humerus. The Precontoured locking plates are designed as per the anatomy of the distal humerus and their use will be helpful to achieve the perfect anatomical reduction.5- 7 Hence; the present study was conducting for assessing the efficacy of Precontoured locking plates in patients with distal humerus fractures.
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