Comparative Effectiveness Of Orthogonal Plating Versus Traditional Methods In The Management Of Intercondylar Humerus Fractures
DOI:
https://doi.org/10.52783/jns.v14.3380Keywords:
intercondylar humerus fractures, orthogonal plating, functional recovery, early mobilization, surgical outcomesAbstract
Background: Intercondylar humerus fractures represent a significant challenge in orthopedic surgery, with traditional fixation methods often failing to meet the demands for optimal functional recovery. Orthogonal plating has emerged as a viable alternative, purported to offer superior stability and facilitate early mobilization.
Methods: This study conducted at Indira Gandhi Medical College, Shimla, retrospectively and prospectively analyzed 22 patients with intercondylar humerus fractures treated via orthogonal plating. Patient demographics, surgical details, post-operative outcomes, and complications were systematically reviewed, with functional outcomes assessed through range of motion (ROM) measurements and Mayo Elbow Performance Scores (MEPS).
Results: The patient cohort predominantly comprised fractures classified as 13C2 (54.5%), with a mean age of 39.09 years. The analysis revealed a noteworthy improvement in ROM and MEPS, with a significant portion of patients achieving good to excellent outcomes. Early surgical intervention was associated with enhanced functional recovery, highlighting the role of orthogonal plating in facilitating early mobilization. Complication rates were comparatively low, indicating the method's safety and efficacy.
Conclusion: Orthogonal plating demonstrates a clear advantage over traditional fixation methods in managing intercondylar humerus fractures, particularly in terms of functional recovery and complication management. The study advocates for its increased utilization in orthopedic practice, with a focus on early surgical intervention and rehabilitation to optimize patient outcomes
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