Related Experiment Video
Updated: Jun 13, 2026
04:41
Treatment with Locking Intramedullary Nailing for Intertrochanteric Fracture of the Femur Utilizing a New Awl with a Distal Positioner
Published on: June 6, 2025
Delayed mobilization in distal humerus fractures managed with plating.
Animesh Gupta1, Vineet Kumar1, Raj Kumar Arya1
1Department of Orthopaedics, Dr. Ram Manohar Lohia Institute of Medical Sciences (DR.RMLIMS), Lucknow, Uttar Pradesh, India.
Bioinformation
|June 12, 2026
Summary
Delayed mobilization after distal humerus fracture surgery, using bi-columnar plating, shows satisfactory functional recovery. This approach balances fixation stability with elbow stiffness concerns for better patient outcomes.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Rehabilitation Medicine
Background:
- Distal humerus fractures are complex, often requiring surgical intervention.
- Optimal postoperative mobilization timing is debated, especially for intra-articular fractures.
- Concerns include fixation stability and preventing elbow stiffness.
Purpose of the Study:
- To evaluate functional recovery after distal humerus fracture fixation.
- To assess the impact of delayed mobilization on outcomes.
- To analyze complications associated with surgical fixation and rehabilitation.
Main Methods:
- Prospective study of 31 patients with AO Type 13-C distal humerus fractures.
- Treatment involved pre-contoured locking plates and bi-columnar plating.
- Functional outcomes assessed using Mayo Elbow Performance Score (MEPS) at 6 months.
Main Results:
- Significant MEPS improvement from 45.97 at 2 weeks to 72.58 at 6 months.
- Nearly 50% of patients achieved good functional results.
- Common complications included stiffness, screw prominence, nerve compression, and infection.
Conclusions:
- Delayed mobilization following bi-columnar plating is a viable strategy for distal humerus fractures.
- This approach yields satisfactory functional outcomes.
- Careful management is needed to mitigate potential complications like stiffness and infection.
Related Concept Videos
01:27Fractures: Bone Repair
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...
01:22Formation of the Platelet Plug
The platelet phase, the second stage of hemostasis, commences around 15-20 seconds after an injury. It follows and overlaps with the vascular phase, during which blood vessels constrict to minimize blood loss.
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...
As the injured blood vessel contracts, endothelial cells undergo contraction, revealing collagen fibers in the basement membrane and underlying connective tissue. Furthermore, the plasma membrane of endothelial cells becomes adhesive, preparing the site for platelet adhesion. Platelets...