Outcome of Distal Humerus Extra Articular Fracture Treated by Pre-Contoured Extra-Articular LCP

Aim: The aim was to evaluate the outcome of distal humerus extra articular fracture treated by pre-contoured extra-articular LCP (Locking Compression Plate).
Material and method: This prospective study was conducted among 30 patients having closed extra-articular distal humeral fractures, treated with extra-articular distal humeral locking compression plate and followed up in the Department of Orthopaedics, Batra Hospital and Medical Research Centre, New Delhi from April 2017 to April 2019. Follow-up was carried out at 2,6,9,12,16 and 20 weeks and then at 2 monthly intervals. Union at the fracture site was defined as bridging callus in a minimum of three cortices on antero-posterior and lateral radiographs combined with a lack of tenderness at the fracture site or un-assisted weight bearing. The functional results were evaluated using Mayo Elbow Performance Score (MEPS) and Visual Analogue Scale for pain. The Mayo Elbow Performance Score (MEPS) assesses motion in terms of flexion and extension.
Results: The commonest mode of injury was road traffic accident (18 cases, 60%). The mean time of radiological union was 14.56 (12-15 weeks). 28 (93.33%) of the fractures showed union. 29 (96.67%) out of 30 patients had excellent MEPS score and 1 patient had good score. At the 6 months analysis the mean range of motion was 0.50 – 1260.
Conclusion: It can be concluded from the results of the present that the Extra-articular Distal Humeral Locking Compression Plate is a useful treatment option for managing extra-articular distal humerus fractures.