Tafoya-Arreguín GA, Martínez-Ruíz JJ, Esqueda-Godoy RD, Arce-Rosas JI

Language: Spanish
References: 9
Page: 59-62
PDF size: 524.13 Kb.

ABSTRACT

Objetive: To evaluate and compare functional outcomes at 12 months from treatment of distal humerus fractures with osteosynthesis vs total elbow arthroplasty in patients aged more than 60 years.
Material and Methods: Two groups of patients with distal humerus fractures classified as AO132C2/AO13C3 were evaluates in retrospective, both after 6 months from treatment; either osteosynthesis or total elbow arthroplasty (TEA). 36 patients in both groups (A: osteosynthesis and B : TEA), each one including 18 patients, where clinically evaluated by range of movement and the Mayo Elbow Score or MES, a functional scale. They were compared with descriptive statistics and central tendency measurements, Chi2 as well as using inferential statistics (Mann-Whitney's U) to obtain the results taking p=0.05 as statistically significant.
Results: When group A and B were compared there was a mean age of 61 to 63 years, with a gender ratio of men to women 10:8/5:13 ( 56:44%/ 28:72%)respectively, being the main extremity affected in 28 to 39 %. There was no statistical significance between surgical differing between the groups. Rehabilitation compliance after surgery between groups was 83 to 89% ( p=0.154). Range movement evaluation in twelve months was an extension of 18.56° to 6.1°( p=0.001 IC 95%), flexion of 102°/117.22° (p=0.010 IC 95% ), function at twelve months with MES was 76 to 91 points ( p=0.001 IC 95%).
Conclusion: Total elbow Arthroplasty offers better clinical and functional outcomes in comparison with osteosynthesis and plates in AO 132C2- C3 distal humerus fractures.

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