Abstract

• PURPOSE: To evaluate the clinical results of this modified anatomical Y-plate in treatment of distal humerus fracture and factors that affect the results. MATERIALS AND METHODS: From April 1991 to January 2002, 40 cases (16 male, 24 female) of distal humeral fractures were treated using a modified anatomical Y plate. The patient's age, gender, pain, range of motion, instability, function, bone union, and complication were recorded. RESULTS: At the operation, the mean age of patients is 49.5 years (12~74 years) and mean follow up period is 18 months (13~82 months). In the range of motion, mean flexion is 122.1 degrees (75~140 degrees) and mean flexion contracture is 11.4 degrees (0~30 degrees). Results by Morrey's functional evaluation include 15 excellent, 23 good and 2 fair cases. There are 2 excellent and 5 good cases in patients of supracondylar fracture which didn't involve the articular surface (A2, A3 type of AO classification), and 13 excellent, 18 good and 2 fair cases in patients of intracondylar fracture which involve the articular surface (B2, C1, C2, C3 type). But there is no statistical significance in results between two groups. There are 3 excellent, 3 good cases in 6 open fracture and 2 excellent, 6 good and 1 fair case in 9 patients with multiple trauma. The patient's age, gender, open fracture, multiple trauma, and intraarticular fracture did not affect the results. CONCLUSION: Satisfactory results can be obtained if the modified anatomical Y-plate is used to treat a distal humerus fracture, regardless of many factors affecting the results.
• Key words: Distal humerus fracture, Modified anatomical Y plate

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Comparative study of a Y- anatomical and innovative locking plate versus double plate for supracondylar humeral fracture
  Hugo Barret, Romain Ceccarelli, Paul Vial D’Allais, Matthias Winter, Michel Chammas, Bertrand Coulet, Cyril Lazerges
  Orthopaedics & Traumatology: Surgery & Research.2023; 109(5): 103380.     CrossRef
• Étude comparative d’une plaque verrouillée anatomique et innovante en Y par rapport à 2 plaques à 90 degrés pour la prise en charge des fractures supra condyliennes de l’humérus
  Hugo Barret, Romain Ceccarelli, Paul Vial d’Allais, Matthias Winter, Michel Chammas, Bertrand Coulet, Cyril Lazerges
  Revue de Chirurgie Orthopédique et Traumatologique.2023; 109(5): 648.     CrossRef
• Double Parallel Plates Fixation for Distal Humerus Fractures
  Young Hak Roh, Moon Sang Chung, Goo Hyun Baek, Young Ho Lee, Hyuk-Jin Lee, Joon Oh Lee, Kyu-Won Oh, Hyun Sik Gong
  Journal of the Korean Fracture Society.2010; 23(2): 194.     CrossRef