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| Results of Open Surgical Treatment of Fractures of The Humeral Paddle
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Mansi Zied, Chneti Islem, Rbai Hedi, Berriri Marouene
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Abstract:
Fractures of the humeral paddle, a prerogative of young adults, are most often complex, related to violence and the increase in road accidents.The objective of our work is to assess our functional results, in the medium term, correlated with a review of the literature. This is a retrospective study of 45 patients, carried out in the traumatologyorthopedics department 1 of HMIMed.V in Rabat, over a period of six years from January 2014 to December 2020. The mean age of the patients was 39 years (17-68 years ), predominantly male. The etiologies are dominated by falls and accidents on the public highway. Fractures are classified according to the Müller and Allg?wer classification where type C is found in 51% of cases. All our patients are operated on with an osteotomy of the olecranon in 71% of cases. Osteosynthesis by Lecestre plate associated with screwing or plugging is used in 84% of cases. The course is marked by complications observed in eight patients (16%) including two cases of sepsis, four cases of elbow stiffness (8%), one case of joint callus and one case of non-union. Our results are evaluated according to the Mayo Elbow Performance Score, they are excellent and good in 71% of cases, average in 18% of cases and bad in 11% of cases. Fractures of the humeral pallet are fractures with a satisfactory functional prognosis, subject to anatomical restoration ad-integrum and solid osteosynthesis allowing early rehabilitation of the elbow. one case of joint callus and one case of non-union. Our results are evaluated according to the Mayo Elbow Performance Score, they are excellent and good in 71% of cases, average in 18% of cases and bad in 11% of cases. Fractures of the humeral pallet are fractures with a satisfactory functional prognosis, subject to anatomical restoration ad-integrum and solid osteosynthesis allowing early rehabilitation of the elbow. one case of joint callus and one case of non-union. Our results are evaluated according to the Mayo Elbow Performance Score, they are excellent and good in 71% of cases, average in 18% of cases and bad in 11% of cases. Fractures of the humeral pallet are fractures with a satisfactory functional prognosis, subject to anatomical restoration ad-integrum and solid osteosynthesis allowing early rehabilitation of the elbow.
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