A review on functional outcomes of intra-articular distal humerus fractures treated with recon plate using Mayo Elbow Performance Score (MEPS).

Article Information

Title: A review on functional outcomes of intra-articular distal humerus fractures treated with recon plate using Mayo Elbow Performance Score (MEPS).

Authors: Abdullah Wali, Khadeej Chaudhry, Haseeb Hussain, Usama Ali Nawazish, Sadaf Saddiq, Rizwan Akram

Journal: The Professional Medical Journal (TPMJ)

HEC Recognition History

Category	From	To
Y	2024-10-01	2025-12-31
Y	2023-07-01	2024-09-30
Y	2022-07-01	2023-06-30
Y	2021-07-01	2022-06-30

Publisher: Independent Medical College, Faisalabad- Pakistan

Country: Pakistan

Year: 2023

Volume: 30

Issue: 10

Language: English

DOI: 10.29309/TPMJ/2023.30.10.7411

Keywords: Chevron OsteotomyDistal Humerus FractureMEP ScoreRecon PlatesTrans Olecranon

Abstract

Objective: To Review on Functional Outcomes of Intra-articular Distal Humerus Fractures Treated with Recon Plate Using the Mayo Elbow Performance Score (MEPS). Study Design: Retrospective study. Setting: Department of Orthopaedic &amp; Spine Surgery, Ghurki Trust Teaching Hospital, Lahore. Period: 2015 to 2021. Material &amp; Methods: A total of 353 patients meeting the inclusion criteria enrolled in the study. Patients were followed up at three months postoperatively to assess functional outcome using the Mayo Elbow Performance Score (MEPS). All data were recorded on the proforma. All the collected data were entered and analyzed through SPSS version 22. The chi-square test was applied post-stratification, taking p≤0.05 as significant. Results: In this study, 353 patients were included; among these majority, 220(62.4%) were males, and 133 were female (37.7%). The mean Age of patients was 42.5±14.32, ranging from 18 to 75 years. 182(51.6%) were affected on the left side compared to the right Side 170(48.2%). In most cases, the history of a mode of injury was fall 266(75.3%), and only 87(24.6%) had RTA history. The average MEPS score was 87.37±15.81, ranging from 40 to 100. According to the distribution of functional outcome, 265(75.1%) reported excellent outcome, 52(14.7%) with good, 26(7.5%) as fair, and only 10(2.8%) reported poor outcome. Stratification of functional outcome and patient demographic history showed a statistically significant association between age, gender, side effect, mode of injury, and functional outcome as p&lt;.05. Conclusion: It is concluded that Recon plates provided patients who had distal humerus fractures an excellent functional result. It provides reliable stabilization for fractures of the distal humerus. Due to its improved stability, the device aids early mobility even in fractures with complications. Therefore, the surgeon should use this technique to avoid complications.

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Research Objective

To review the functional outcomes of intra-articular distal humerus fractures treated with recon plates using the Mayo Elbow Performance Score (MEPS).

Methodology

Retrospective study conducted at the Department of Orthopaedic & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore, from 2015 to 2021. A total of 353 patients meeting inclusion criteria were enrolled. Functional outcomes were assessed using the Mayo Elbow Performance Score (MEPS) at three months postoperatively. Data were analyzed using SPSS version 22, with the chi-square test applied for statistical significance (p<0.05).

Methodology Flowchart

                        graph TD
    A["Data Collection Retrospective"] --> B["Patient Enrollment: n=353"];
    B --> C["Postoperative Follow-up"3 months""];
    C --> D["Functional Outcome Assessment MEPS"];
    D --> E["Data Entry into SPSS v22"];
    E --> F["Statistical Analysis Chi-square test"];
    F --> G["Interpretation of Results"];
    G --> H["Conclusion and Discussion"];

Discussion

Intra-articular distal humerus fractures are challenging to treat, with potential for high failure rates. The study's findings of predominantly excellent functional outcomes with recon plates align with existing literature, suggesting this method provides reliable stabilization and aids early mobility. Limitations include selection bias and the study being conducted at a single center.

Key Findings

Out of 353 patients, 62.4% were male. The mean age was 42.5±14.32 years. The left side was affected in 51.6% of cases. Falls were the most common mode of injury (75.3%). The average MEPS score was 87.37±15.81. Functional outcomes were: 75.1% excellent, 14.7% good, 7.5% fair, and 2.8% poor. Statistically significant associations (p<0.05) were found between age, gender, side of injury, mode of injury, and functional outcome.

Conclusion

Recon plates provide excellent functional results for patients with distal humerus fractures, offering reliable stabilization and facilitating early mobility, even in complicated cases. Surgeons are advised to utilize this technique to minimize complications.

Fact Check

- A total of 353 patients were included in the study. (Confirmed in Results section)
- 75.1% of patients reported an excellent functional outcome. (Confirmed in Results section)
- The mean age of patients was 42.5±14.32 years. (Confirmed in Results section)

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