DOI: 10.21276/sasjs.2019.5.1.4

Pages: 19-22

Purposes: Surgical treatment of distal humerus fractures is difficult because of the complex anatomy, often short distal segment or comminution. This study aimed to compare the plate fixation types and evaluate the effects of concomitant injuries on the results. Methods: Between January 2003-December 2010, 34 patients who underwent open reduction and internal fixation (ORIF) using distal humerus locking compression plate (LCP), were investigated retrospectively. All patients were above 16 years old, and minimum follow-up was 24 months. Exclusion criteria were; revisions, refractures, an insufficient follow-up to document results, mental disorders that may impair adaptation to the whole treatment. Functional results were evaluated with using MEPI (Mayo elbow scoring index) and VAS (Visual analog scale) score. Radiologic results were evaluated by the presence of avascular necrosis, nonunion, stepping on the joint, implant insufficiency, arthrosis, and heterotopic ossification. Arthrosis grade was defined by Broberg-Morrey scale and heterotopic ossification grade was defined by Brooker scale.