PMID: 26878528Feb 16, 2016Paper

Functional outcome following olecranon osteotomy approach for fixation of T/Y fractures of distal humerus

JPMA. the Journal of the Pakistan Medical Association
Kashifs Mahmood KhanAnisuddin Bhatti

Abstract

To evaluate the functional outcome of fixation of T/Y fracture distal humerus through olecranon osteotomy. Quasi experimental study. Department of Orthopedics, Jinnah Postgraduate Medical Centre, Karachi from June 2011 to December 2011. Patients of either sex presenting with T/Y(configuration) fracture Humerus of Risenborough-Radin type II-IV and less than three weeks duration were included. Diagnosis was made by X-rays and underwent fixation by posterior approach through olecranon osteotomy. Functional outcome was measured by using Risenborough-Radin criteria of range of motion as good, fair and poor. The data was analyzed using SPSS version 13. 71 patients aged between 20-50 years were enrolled. Mean duration of trauma was 12.2±4.4 days. Majority 55 (77.5%) had type III fracture. Patients less than 40 years had good outcome in 52.8% cases and fair outcome in 41.7% cases better than patients more than 40 years age. In females, outcome was 68.8% which was better than males. Trauma of less than 12 days of duration had good outcome in 60.5% of cases. Type II fracture had better outcome than other types. Overall, 39 patients (54.9%) had good outcome, fair outcome in (33.80%) 24 patients and poor outcome in (11.27%) 8 patients. Pos...Continue Reading

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