Online ISSN: 2515-8260

Keywords : Bi Columnar Plating

A Hospital Based Observational Study to Assess the Early Mobilization and Functional Outcome of Distal Humerus Fracture (AO Type 13-C) Treated with Open Reduction and Internal Fixation with Bi-Columnar Plating at Tertiary Care Centre

Pradeep Kumar Mundotiya, Ravindra Kumar Saini, Amit Kumar, Ratan Lal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10936-10944

Background: Patients treated with bi columnar locking compression plates show a greater
functional range of motion, better restoration of articular congruity, secure bony fixation,
better bone healing, and early rehabilitation. The aim of this study to assessed whether distal
humerus fractures (AO type 13-C) treated with open reduction and internal fixation with bi
columnar plating allows early mobilization and improves functional outcomes in patients and
also to assess its associated complications.
Materials& Method: This is prospective study where in consecutive 50 cases of distal
humerus fractures (AO type 13C) admitted in orthopedic ward in SMS Medical College,
Jaipur, Rajasthan, India during one year period. Functional outcome was assessed through
The Mayo Elbow Performance Score. All the cases in the study were posttraumatic. Patients
were following u pregularly for a period of 1year post operatively.
Results: The mean age of patients was39.68 years,withthe youngest being 21years and oldest
is 80years. Male to female ratio was 2.3:1. In 32patients left side was involved and in
18patients had right side involved. 30cases were due to Road traffic accidents and 20cases
due to self-fall. 48patients had a closed type and only two patients had an open typeII
fracture. The mean arc of movement in the flexion–extension plane was 116.780 with a mean
fixed extension of 8.560. MEPS was excellent in 35 patients, good in 8 patients, fair in 5
patients and poor in 1patient at end point of follow up. Patient with poor score had severe
stiffness and experienced difficulty in performing daily routine activities.
European Journal of Molecular & Clinical Medicine
ISSN 2515-8260 Volume 9, Issue 3, Winter 2022
Conclusion: We concluded that distal humerus fractures operated with bicolumnar locking
compression plates using trans olecranon approach by chevronosteotomy has good functional
outcome with particular advantage in intra-articular typeC3 which allows early mobilization
of the patients even in fractures with comminution due to the enhanced stabilityof the