NDLI: Complications associated with open reduction and internal fixation for adult distal humerus fractures: a multicenter retrospective study

Content Provider	Springer Nature : BioMed Central
Author	Han, Soo-Hong Park, Jin Sung Baek, Jong Hun Kim, Segi Ku, Ki Hyeok
Abstract	Background Open reduction and plate fixation are the preferred treatment options for most distal humerus fractures in adults. However, it is often challenging for orthopedic surgeons because of the complex anatomy and the difficulty in achieving stable fixation. This multicenter study aimed to analyze the complication types and rates of patients with distal humerus fractures treated with open reduction and plate fixation, and compare the results with those found in the literature. In addition, we describe the clinical outcomes. Methods This retrospective multicenter study was conducted between September 2001 and March 2021 and included data from four hospitals. In total, 349 elbows underwent surgical treatment at these hospitals during the study period. Patients > 17 years of age who were treated by plate fixation were included, and patients who were treated by other fixation methods were excluded. A total of 170 patients were included in the study. The following types of complications were investigated: (1) nerve related; (2) fixation and instrument related; (3) osteosynthesis related; (4) infection; and (5) others. Results The following complications were found: (1) 26 (15.3%) cases of postoperative ulnar nerve symptoms; 4 (2.4%) of postoperative radial nerve symptoms; (2) one (0.6%) case of screw joint penetration and screw loosening; and eight (4.7%) cases of hardware removal due to instrument skin irritation; (3) seven (4.1%) cases of nonunion; (4) two (1.2%) and four (2.2%) cases of superficial and deep infection, respectively, and seven (3.9%) cases of wound complication; and (5) 37 (21.8%) cases of heterotrophic ossification, 79 (46.5%) cases of elbow stiffness (did not achieve functional range of motion [ROM]), and 41 (24.1%) cases of osteoarthritis over Broberg and Morrey Grade I. Paradoxically, the postoperative ulnar nerve symptoms were more frequent in the prophylactic ulnar nerve anterior transposition group. However, this difference was not statistically significant (p = 0.086). The mean ROM was 123.5° flexion to 9.5° extension. The average Disabilities of the Arm, Shoulder and Hand (DASH) score was 14.5 ± 15.6. Conclusions Open reduction and plate fixation for distal humeral fractures is a reasonable treatment option with acceptable complication rates and favorable clinical outcomes. Surgeons must be vigilant about ulnar nerve complications. Level of Evidence Therapeutic Level III.
Related Links	https://josr-online.biomedcentral.com/counter/pdf/10.1186/s13018-022-03292-1.pdf
Ending Page	11
Page Count	11
Starting Page	1
File Format	HTM / HTML
DOI	10.1186/s13018-022-03292-1
Journal	Journal of Orthopaedic Surgery and Research
Issue Number	1
Volume Number	17
Language	English
Publisher	BioMed Central
Publisher Date	2022-08-31
Access Restriction	Open
Subject Keyword	Orthopedics Surgical Orthopedics Distal humerus fracture Plate fixation Orthogonal plate Parallel plate Single plate Complication
Content Type	Text
Resource Type	Article
Subject	Surgery Orthopedics and Sports Medicine
Journal Impact Factor	2.8/2023
5-Year Journal Impact Factor	3/2023

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Bilateral plate fixation for type C distal humerus fractures: experience at a single institution.

Epithelioid hemangioma of the distal humerus with pathologic fracture.

Post-traumatic distal humerus non-union : Open reduction and internal fixation: long-term results.

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate.

The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study.

Inadequate proximal screw fixation increases risk of failure following plate fixation of diaphyseal humerus fractures

Open reduction internal fixation of proximal humerus fractures.

Parallel versus orthogonal plating for distal humerus fractures.

Complications associated with open reduction and internal fixation for adult distal humerus fractures: a multicenter retrospective study

Similar Documents

Anti-sliding plate technique for coronal shear fractures of the distal humerus

Bilateral plate fixation for type C distal humerus fractures: experience at a single institution.

Epithelioid hemangioma of the distal humerus with pathologic fracture.

Post-traumatic distal humerus non-union : Open reduction and internal fixation: long-term results.

Outcomes of distal humerus diaphyseal injuries fixed with a single-column anatomic plate.

The role of ulnar nerve subcutaneous anterior transposition during open reduction and internal fixation of distal humerus fractures: a retrospective cohort study.

Inadequate proximal screw fixation increases risk of failure following plate fixation of diaphyseal humerus fractures

Open reduction internal fixation of proximal humerus fractures.

Parallel versus orthogonal plating for distal humerus fractures.

Complications associated with open reduction and internal fixation for adult distal humerus fractures: a multicenter retrospective study