Nouraei Mohammadhadi, Motififar Mehdi, Barazandeh Morteza
Department of Orthopedics, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.
Adv Biomed Res. 2018 Jan 22;7:3. doi: 10.4103/abr.abr_283_15. eCollection 2018.
In this study, functional state of patients with Type C distal humerus fractures undergone surgical plating was evaluated 6 and 12 months after the surgery in order to record postsurgical factors such as pain level and job/performance satisfaction.
In this cross-sectional study, 46 patients with humerus fractures were recruited and their ability to do daily tasks, presence of degenerative changes, stability of elbow joint, and range of motion was evaluated. For assessment of response to surgery, Mayo score was used.
Among 46 patients, 45 (97.8%) of them had joint stability. Evaluation of postsurgical complications showed that six subjects (13%) had no complications, but superficial infection was observed in 12 (26.1%) subjects. Neuromuscular disorders in ulnar nerve were present in 11 subjects (23.9%), recurrent articular bursitis of elbow joint in 6 subjects (13%), stiffness of elbow joint in 29 subjects (63%), nonunion of fracture in 3 subjects (6.5%), and myositis ossification in 4 (8.7%) subjects. Furthermore, 18 (39.1%) patients presented with more than one (2-4) complications.
Open reduction and internal fixation surgery with dual plating is the method of choice for treatment of Type C distal humeral fractures. Evaluation of long-term outcomes of this surgery could be done via several different questionnaires as many studies suggest. This study demonstrated that the outcomes of this surgery in Isfahan, Iran, have been noticeably inferior compared to results of the studies in other parts of the world.
在本研究中，对接受手术钢板固定治疗的C型肱骨远端骨折患者在术后6个月和12个月时的功能状态进行评估，以记录术后因素，如疼痛程度和工作/表现满意度。
在这项横断面研究中，招募了46例肱骨骨折患者，并评估了他们进行日常任务的能力、是否存在退行性改变、肘关节稳定性和活动范围。使用梅奥评分来评估手术反应。
在46例患者中，45例（97.8%）具有关节稳定性。术后并发症评估显示，6例患者（13%）无并发症，但12例患者（26.1%）出现浅表感染。11例患者（23.9%）存在尺神经的神经肌肉紊乱，6例患者（13%）出现肘关节复发性关节囊炎，29例患者（63%）出现肘关节僵硬，3例患者（6.5%）出现骨折不愈合，4例患者（8.7%）出现骨化性肌炎。此外，18例患者（39.1%）出现一种以上（2 - 4种）并发症。
双钢板切开复位内固定手术是治疗C型肱骨远端骨折的首选方法。正如许多研究所表明的，可通过几种不同问卷对该手术的长期结果进行评估。本研究表明，在伊朗伊斯法罕，该手术的结果明显劣于世界其他地区的研究结果。
