24109Array
(
    [TITRE_TRAVAIL] => Array
        (
            [0] => Risk Factors For Poor Functional Outcome in Distal Humeral Fracture Treated surgically
        )

    [etablissement] => Array
        (
            [0] => Orthopedics and traumatology department. Hospital of Mohamed Taher Maamouri. Nabeul
        )

    [nom] => Array
        (
            [0] => Zoghlami
        )

    [prenom] => Array
        (
            [0] => Elyes
        )

    [email] => Array
        (
            [0] => zelyes46@gmail.com
        )

    [telephone] => Array
        (
            [0] => 94544434
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom / Name Surname: Jlidi Mohamed
Email: medjlidi@hotmail.fr
Hôpital / Hospital: Hospital of Mohamed Taher Maamouri. Nabeul

 
Nom prénom / Name Surname: Lamouchi Mouldi
Email: hlamouchi92@gmail.com
Hôpital / Hospital: Hospital of Mohamed Taher Maamouri. Nabeul

 
Nom prénom / Name Surname: Belkadhi Imen
Email: imen123belkadhi@gmail.com
Hôpital / Hospital: Hospital of Mohamed Taher Maamouri. Nabeul

 
Nom prénom / Name Surname: Mars Houssem
Email: houssemmars@gmail.com
Hôpital / Hospital: Hospital of Mohamed Taher Maamouri. Nabeul

 
Nom prénom / Name Surname: Bouaicha Walid
Email: walid_bouaicha@yahoo.fr
Hôpital / Hospital: Hospital of Mohamed Taher Maamouri. Nabeul

 
Nom prénom / Name Surname: Daas Selim
Email: selimdaas@yahoo.fr
Hôpital / Hospital: Hospital of Mohamed Taher Maamouri. Nabeul

        )

    [mots_cles] => Array
        (
            [0] => Distal Humeral Fracture;
Functional results;
Poor;
Risk factors;

        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
        )

    [forme] => Array
        (
            [0] => none
        )

    [user_email] => Array
        (
            [0] => medjlidi@hotmail.fr
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => Background
Distal humerus fractures are not common in adults and constitute only 2% of all the fractures. These injuries are complex. The goal is to achieve a functional range of motion of 30°–130° which is not always possible. Many factors may affect the treatment outcomes.  
The aim of our study is to evaluate the risk factors for the poor functional outcome in distal humeral fracture treated surgically.
Methods
Between 2020 and 2023, thirty patients with the mean age of 53 years  underwent open reduction and plate fixation for distal humerus fractures. Range of motion (ROM), the Disability for Arm, Shoulder, and Hand Score (DASH) and Mayo Elbow Performance Score (MEPS) were used for functional evaluation. 
Patients were divided into two groups according their ROM. Group 1 had > 100° of extension flexion ROM and group 2 had < 100°.
Older age (> 60), AO type C2–3 fracture, open fracture, longer injury-surgery interval, type of plating, and presence of olecranon osteotomy were investigated as risk factors for poor outcome. 
Results
At a mean follow-up of 24 months, 18 patients were in group 1 and 12 patients were in group 2. Group 1 had significantly better functional scores than group 2.
Patient’s factors such as age, gender, work, arm dominance, and the mechanism of injury displayed no significant impact on the outcomes. Inferior results were associated to open fractures (p=0.038; OR=2.34) and cases requiring a staged procedure. 
Furthermore, a delay in surgery exceeding 24 hours substantially heightened the complication rate. The proportion of patients experiencing nerve injury showed no statistical difference in the pre-operative and post-operative stages concerning the final outcome. 
Conclusion
Although distal humeral fractures were once relatively uncommon, their incidence is currently increasing. A prompt intervention utilizing a multimodal approach, coupled with closely supervised rehabilitation, can ensure a more favorable final outcome.
        )

    [rank_math_internal_links_processed] => Array
        (
            [0] => 1
        )

    [ple-content_has_sections] => Array
        (
            [0] => 
        )

    [_eael_post_view_count] => Array
        (
            [0] => 17
        )

    [trx_addons_post_views_count] => Array
        (
            [0] => 15
        )

    [ekit_post_views_count] => Array
        (
            [0] => 15
        )

    [trx_addons_post_likes_count] => Array
        (
            [0] => 0
        )

)