Evaluation of Distal Humerus Intercondylar Fractures Using Mayo Elbow Performance Score Following Elbow Reconstruction with Two Plates in Inverted Y Configuration

Abstract

Objective: Distal humerus fractures are common in elbow injuries. The objective of this study was to evaluate the clinical result following elbow reconstruction for distal humeral intercondylar fractures utilizing two plates applied in an inverted Y configuration using the Mayo Elbow Performance Score (MEPS)

Methodology: This descriptive case series was conducted from June 2019 to July 2023 in the department of Orthopedics at Akbar Medical Center, Peshawar and Maqsood Medical Center Peshawar. Patients were chosen using a non-probability, sequential sampling procedure. The study included all patients between the age of 20 and 50 years with distal humeral intercondylar fractures, regardless of gender, and whose fractures lasted less than a week. Data was analyzed using SPSS version 20.

Results: Out of 88 patients 53 (60.23%) were males and 35 (39.22%) females. The mean fracture duration was 4.19 ± 1.44 days. The clinical prognosis was excellent in 27 cases (30.68%), good in 37 cases (42.05%), fair in 16 cases (18.18%), and bad in 8 cases (9.09%) following elbow reconstruction utilizing two plates in an inverted Y configuration for distal humeral intercondylar fracture based on the MEPS.

Conclusion: A considerable percentage of patients had a satisfactory clinical outcome following elbow reconstruction with two plates arranged in an inverted Y configuration for distal humeral intercondylar fractures

Keywords: Elbow, Fracture, Humerus, Performance Score, Supracondylar