Functional and Radiological Outcomes of Distal Humerus Fractures Treated with Orthogonal Plating: A Study Based on the Mayo Elbow Performance Score
Main Article Content
Abstract
Background: Distal humerus fractures are not rare but complex injuries requiring stable fixation for optimal recovery. Orthogonal plating has emerged as a reliable surgical method, promoting early mobilization resulting in better functional outcome.
Aim & Objectives: This study aimed to evaluate the functional and radiological outcomes of distal humerus fractures treated with orthogonal plating, focusing on treatment duration, fracture union, functional recovery, and complications.
Patient & Methods: A total of 30 patients with AO Type C distal humerus fractures, aged 18-60, were treated with orthogonal plating at Sree Balaji Medical College between May 2022 and May 2024. Functional outcomes were assessed using the Mayo Elbow Performance Score (MEPS), and radiological union was monitored.
Results: The mean age was 40 years, and the most common cause of injury was road traffic accidents. Radiological union was achieved in all cases, with 90% uniting within 12-16 weeks. The mean MEPS score was 86, with a success rate of 88.9% in patients younger than 40 years and 93.3% in those older than 40 years. Complications were minimal.
Conclusion: Orthogonal plating is a highly effective method for treating distal humerus fractures, providing stable fixation, early recovery, and minimal complications, making it ideal for patients needing rapid rehabilitation.