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International Orthopaedics

Erschienen in:

01.02.2018 | Original Paper

Evaluation of risk factors for stiffness after distal humerus plating

verfasst von: Onur Tunalı, Ali Erşen, Tuna Pehlivanoğlu, Serkan Bayram, Ata C. Atalar, Mehmet Demirhan

Erschienen in: International Orthopaedics | Ausgabe 4/2018

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Abstract

Purpose

In distal humerus fractures, the goal is to achieve a functional range of motion of 30°–130° which is not always possible. The aims of the study were to evaluate the functional results after distal humerus fracture operation and to investigate the risk factors for stiffness.

Methods

Between 2005 and 2014, 75 patients with the mean age of 37.8 years (17–80) underwent open reduction and plate fixation for distal humerus fractures. Range of motion (ROM), Mayo elbow performance scores, and quick DASH scores were used for functional evaluation. Patients were divided into two groups according their ROM. Group 1 had > 100° of extension-flexion ROM and group 2 had < 100°. Older age (> 60), AO type C2–3 fracture, open fracture, longer injury-surgery interval, type of plating, and presence of olecranon osteotomy were investigated as risk factors for poor outcome.

Results

At a mean follow-up of 25 months (6–80), 40 patients were in group 1 and 35 patients were in group 2. Group 1 had significantly better functional scores than group 2. AO type C2 and C3 fracture (odds ratio (OR) 16.6, p < 0.0001) and injury-surgery interval longer than 7 days (OR 2.59, p 0.047) were found as significant risk factors for stiffness.

Conclusions

Patients who had distal humerus fracture should be informed about the risk of elbow stiffness especially in AO type C2–C3 fractures and surgical treatment should be planned without any delay.

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Titel: Evaluation of risk factors for stiffness after distal humerus plating
verfasst von: Onur Tunalı
Ali Erşen
Tuna Pehlivanoğlu
Serkan Bayram
Ata C. Atalar
Mehmet Demirhan
Publikationsdatum: 01.02.2018
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 4/2018
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-018-3792-3

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Evaluation of risk factors for stiffness after distal humerus plating

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Conclusions

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Purpose

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