TITLE:
Evaluation of Surgical Treatment of Distal Humeral Fractures in Adults
AUTHORS:
Abdoulaye Camara, Karinka Kéita, Mamady Doukouré, Abdoul Karim Baldé, Léopold Lamah, Fatoumata Camara, Alpha Mamadou Felah Diallo, Ibrahima Marie Camara, Mamadou Madiou Diallo, Mamadou Cellou Diallo
KEYWORDS:
Fracture, Distal Humerus, Lecestre Plate, External Fixator, Trans-Olecranial, Transtricipital
JOURNAL NAME:
Open Journal of Orthopedics,
Vol.14 No.7,
July
19,
2024
ABSTRACT: Introduction: Fractures of the distal end of the humerus are becoming increasingly frequent in young subjects because of the increase in road traffic accidents, and in elderly subjects because of osteoporosis related to aging populations. Materials and Methods: It was a prospective, monocentric study from January 2018 to December 2020 involving 14 patients who received and were treated surgically for distal humeral fractures and followed up. Results: We collected 14 patients, including 11 men (78.57%) and 3 women (21.43%), with a sex ratio of 3.7. The mean age was 36.41 years. The circumstances of onset were dominated by road traffic accidents, with 12 cases (85.71%). The dominant side was right-handed, with 11 cases (78.57%). Standard elbow radiography revealed 8 cases of type A fractures (57.14%), 4 cases of type B and 2 cases of type C fractures of the AO. We performed Lecestre plate osteosynthesis in 12 patients and external fixator in 2 others, using the trans-olecranial and transtricipital approaches. Elbow stiffness was the most frequent complication, with 6 cases (42.86%). After six months’ follow-up, our results were excellent and good in 78.57% of cases (MEPS). Conclusion: Surgical treatment with posterior approaches enabled us to achieve restitution of the articular surfaces, solid restraint and early mobilization of the elbow with satisfactory functional results.