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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Open Reduction and Internal Fixation with Headless Compression Screws for Coronal Shear Fractures Dubberley Type 3 – Outcomes at a Mean Follow-up of 7 Years

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  • presenting/speaker Ezequiel Zaidenberg - Italian Hospital of Buenos Aires, Buenos Aires, Argentina
  • Mariano Abrego - Italian Hospital of Buenos Aires, Buenos Aires, Argentina
  • Jorge Boretto - Italian Hospital of Buenos Aires, Buenos Aires, Argentina
  • De Carli Pablo - Italian Hospital of Buenos Aires, Buenos Aires, Argentina
  • Gerardo Gallucci - Italian Hospital of Buenos Aires, Buenos Aires, Argentina

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1465

doi: 10.3205/19ifssh1422, urn:nbn:de:0183-19ifssh14221

Published: February 6, 2020

© 2020 Zaidenberg et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: To evaluate the sustainability of the early clinical and radiological outcomes of a series of patients with Dubberley type 3 fractures of the distal humerus at long-term follow-up.

Methods: Twelve consecutive patients with capitellum and trochlear fractures who underwent to open reduction and internal fixation using headless compression screws with minimum of 6 years of follow-up were evaluated. Functional and radiological outcomes at one year and final follow-up were compared. We assessed Mayo Elbow Performance Score (MEPS), Quick-Disability of the Arm Shoulder and Hand (Q- DASH) and modified-American Shoulder and Elbow Surgeons Scores (m-ASES). Radiological evaluation included Broberg and Morrey classification and Hastings classification for heterotopic ossification.

Results and Conclusions: The mean age of patients was 70 years, with a median follow-up was 7 years. At final evaluation, mean flexion, extension, supination and pronation were 127°, 20°, 87° and 90°, respectively; mean MEPS, m-ASES and Q-DASH scores were respectively 92, 95, and 5 points. There was no statistical difference between early and final follow-up range of motion, MEPS and Q-DASH. However, radiological changes were observed in 75% of the patients at final follow-up. Five patients underwent reoperation and one of them required revision with a total elbow prosthesis.

Our results suggested that satisfactory clinical outcomes at early follow-up could be maintained over time. However, a high early reoperation rate and osteoarthritic changes at long-