Orthogonal dual plating: A reliable choice for complex distal humerus fractures

Anil Kumar Nathi; Gopal M Shinde; Baladitya Sarma Sista; Sivananda Pathri; Varun Kumar Paka; Jameer Shaik; Pramoda Nakka; Chandana Pathri

doi:10.4103/jodp.jodp_30_22

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ORIGINAL ARTICLE

Year : 2023 \| Volume : 6 \| Issue : 1 \| Page : 13-19

Orthogonal dual plating: A reliable choice for complex distal humerus fractures Anil Kumar Nathi¹, Gopal M Shinde², Baladitya Sarma Sista³, Sivananda Pathri⁴, Varun Kumar Paka⁵, Jameer Shaik⁶, Pramoda Nakka⁷, Chandana Pathri⁸ ¹ Department of Orthopaedics, GITAM Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh, India ² Department of Orthopaedics, SBMT Institute of Medical Sciences and Research Centre, Nashik, Maharashtra, India ³ Department of Orthopaedics, Pinnacle Hospital, Visakhapatnam, Andhra Pradesh, India ⁴ Department of Orthopaedics, King George Hospital, Visakhapatnam, Andhra Pradesh, India ⁵ Department of Orthopaedics, Nimra Institute of Medical Sciences, Vijayawada, Andhra Pradesh, India ⁶ Department of Orthopaedics, Chaitra Hospital, Eluru, Andhra Pradesh, India ⁷ Department of Orthopaedics, Rangaraya Medical College, Kakinada, Andhra Pradesh, India ⁸ Department of Orthoapedics, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India Correspondence Address: Anil Kumar Nathi Department of Orthopaedics, GITAM Institute of Medical Sciences and Research, Visakhapatnam, Andhra Pradesh India Source of Support: None, Conflict of Interest: None DOI: 10.4103/jodp.jodp_30_22

Background: Distal humerus fractures are difficult to manage and perfect intra-articular reduction is a prerequisite for a successful outcome. Dual plating is the norm, and this may be in the form of orthogonal or parallel plating. Controversy regarding the choice between these modes of plating is a topic of debate. Aims and Objectives: To show that perpendicular or orthogonal plating is an adequate mode of treatment option to handle all patterns of distal humerus fractures compared to later-introduced parallel plating. Patients and Methods: We, here, report a case series of 30 cases of AO type C distal humerus fractures, in patients aged between 20 and 60 years, managed by orthogonal plating. All patients were operated between 2015 and 2019 by a single surgeon at our institute. Results: A total of 22 (73.33%) patients showed good or excellent results. Six (20%) patients had fair results. Two (6.66%) patients had poor results. About 86% of the total patients were satisfied with their outcomes. Conclusion: Orthogonal plating offers a satisfactory outcome in AO type C distal humerus fracture with reasonable functional output through early mobilization due to the inherent stability offered by the construct.



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