Plate and Screw Fixation of Bicolumnar Distal Humerus Fractures: Factors Associated With Loosening or Breakage of Implants or Nonunion

The Journal of Hand Surgery
Femke M A P ClaessenDavid Ring

Abstract

To identify factors associated with reoperation for early loosening or breakage of implants or nonunion after operative treatment of AO type C distal humerus fractures. We retrospectively analyzed 129 adult patients who had operative treatment of an isolated AO type C distal humerus fracture at 1 of 5 hospitals to determine factors associated with reoperation for early loosening or breakage of implants or nonunion. Within 6 months of original fixation, 16 of 129 fractures (12%) required reoperation for loosening or breakage of implants (n = 8) or nonunion (n = 8). In bivariate analyses, the Charlson comorbidity index, smoking, a coded diagnosis of obesity, diabetes mellitus, and radiographic osteoarthritis were significantly associated with reoperation for early loosening or breakage of implants or nonunion. With the numbers available, patient factors rather than technical factors were associated with reoperation for loosening or breakage of implants and nonunion. Because of the relative infrequency of fixation problems and nonunion, a much larger study is needed to address technical deficiencies.

References

Nov 1, 1992·The Journal of Trauma·J SödergårdO Böstman
Dec 29, 1999·Archives of Orthopaedic and Trauma Surgery·H KinikE Mergen
Sep 28, 2002·Journal of Orthopaedic Trauma·Mohit BhandariEmil H Schemitsch
Dec 25, 2002·Journal of Orthopaedic Trauma·C Michael RobinsonCharles M Court-Brown
Mar 20, 2008·The Journal of Bone and Joint Surgery. American Volume·Saam MorshedTheodore Miclau
Sep 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Luis A CorralesTheodore Miclau
Dec 29, 2009·Journal of Shoulder and Elbow Surgery·Kanthan TheivendranSubodh C Deshmukh
Apr 5, 2011·The Journal of Trauma·William MinNirmal C Tejwani
Apr 8, 2011·The Journal of Bone and Joint Surgery. American Volume·Aaron NauthEmil H Schemitsch
Oct 11, 2011·Journal of Shoulder and Elbow Surgery·Jasvinder A SinghRobert H Cofield
May 18, 2012·Journal of Orthopaedic Trauma·Elliot S MendelsohnDaniel M Zinar
Feb 9, 2013·International Orthopaedics·Jacques Hernigou, Frédéric Schuind
Mar 4, 2014·Journal of Shoulder and Elbow Surgery·Luz M Silverio, Emilie V Cheung
Apr 18, 2014·The Journal of Bone and Joint Surgery. American Volume·John A ScolaroJaimo Ahn

❮ Previous
Next ❯

Citations

Aug 16, 2016·The Journal of Hand Surgery·Femke M A P ClaessenUNKNOWN Science of Variation Group
Aug 8, 2019·Hand : Official Journal of the American Association for Hand Surgery·Jonathan LansNeal C Chen
Mar 30, 2017·International Orthopaedics·Patrick A VaradyPeter Augat
Jun 23, 2018·The Orthopedic Clinics of North America·Clay A SpitlerPatrick F Bergin

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antipsychotic-Induced Weight Gain

Antipsychotic-induced weight gain (aiwg) is a common adverse effect of this treatment, particularly with second-generation antipsychotics, and it is a major health problem around the world. Here are the latest discoveries pertaining to AIWG.