Fractures of the distal end of humerus treated with joshi external stabilizing system
Vol 3 | Issue 2 | Sep – Dec 2017 | page: 8-11 | Meganath Pawar, Mohammed Ibrahim
Author: Meganath Pawar [1], Mohammed Ibrahim [2].
[1]Department of Orthopaedics, ESIC Medical College, Gulbarga, Karnataka, India,
[2]Department of Orthopaedics, GIMS Medical College, Gulbarga, Karnataka, India.
Address of Correspondence
Dr. Mohammed Ibrahim
Department of Orthopaedics, GIMS Medical College, Gulbarga, Karnataka, India.
Email: dribrahimparvez@gmail.com
Learning Points for this Article: Application of simple and easy method for treated of complex fractures at peripheral level
Abstract
Fracture of the distal humerus is a common and debilitating injury and accounts for 2% of all adult fractures. Patients with displaced, unstable distal humeral fractures may have improved outcomes if managed operatively.
Objectives: The objectives were aimed to study the results of using Joshi’s external stabilizing system (JESS) for the management of fractures of distal humerus.
Materials and Methods: This prospective study was conducted in GGHGulbarga on 15 subjects with distal humerus fractures. As per AO classification,C typefractures were included and prepared for JESS fixation. The results of the treatment were evaluated as per Cassebaum functional criteria. Patients were followed up for 12 months.
Results: Among15 patients, 9 males and 6 females, 6 hadC1, 6 had C2, and 3 had C3. Mean duration of JESS application was 8 weeks. Among 15 patients,10 had excellent, 3 had satisfactory result, and 2 had unsatisfactory result.
Conclusion: JESS is an alternativesimple and easyoption for the treatment of distal humerus fractures, showing excellent to good results in cases of AO C1, C2, and C3 fracture.
Keywords: Distal humerus intracondylar, Joshi’s external stabilizing system.
References
1. Babhulkar S, Babhulkar S. Controversies in the management of intra-articular fractures of distal humerus in adults. Indian J Orthop2011;45(3):216-225.
2. Galano GJ, Ahmad CS, Levine WN. Current treatment strategies for bicolumnar distal humerus fractures. J Am AcadOrthopSurg2010;18(1):20-30.
3. Safoury YA, Atteya MR. Treatment of post-infection nonunion of the supracondylar humerus with Ilizarov external fixator. J Shoulder Elbow Surg2011;20(6):873-879.
4. Zlotolow DN, Catalano LW, Barron OA,Glickel SZ. Surgical exposure of the humerus. J Am AcadOrthopSurg2006;14(13):754-765.
5. Qureshi KK, Sabir MR, Yasin G. Assessment of elbow function after stable fixation of AO Type C fracture of the distal humerus in adults. Prof Med J 2005;12:331-335.
6. Cheung EV, Steinmann SP. Surgical approaches to the elbow. J Am AcadOrthopSurg2009;17(5):325-333.
7. O’Driscoll SW, Sanchez-Sotelo J, Torchia ME. Management of the smashed distal humerus. OrthopClin North Am2002;33:19-33, vii.
8. Sanchez-Sotelo J, Torchia ME, O’Driscoll SW. Complex distal humeral fractures: Internal fixation with a principle-based parallel-plate technique. Surgical technique. J Bone Joint Surg Am2008;90Suppl 2:31-46.
| How to Cite this article: Pawar M, Ibrahim M. Fractures of the Distal End of Humerus Treated with Joshi External Stabilizing System. Trauma International Sep-Dec 2017;3(2):8-11. |
