{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T02:43:40Z","timestamp":1791513820794,"version":"4.3.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2017,8,28]],"date-time":"2017-08-28T00:00:00Z","timestamp":1503878400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2017,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The optimal method for fixation of extra-articular distal humerus factures poses a management dilemma. Although various plate configurations have been proposed, anatomic shaped extra-articular distal humerus locking plates have emerged as a viable solution for these complex injuries. We assessed clinico-radiologic outcome in our retrospective case series of extra-articular distal humerus fractures managed with these plates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Forty-five patients of extra-articular distal humerus fractures, who were operated at our level 1 trauma centre between January, 2012 and December, 2016, were identified. After exclusion, 36 patients were available for the final assessment. All patients were operated with the triceps-reflecting modified posterior approach. Regular clinico-radiologic follow-up was done evaluating elbow functionality, fracture union, secondary displacement, non-union, implant failure and any complications; Mayo Elbow Performance score (MEPS) was used for the final functional assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Twenty-four (66.7%) male and 12 (33.3%) female patients constituted the study group, who had an average follow-up of 15 months. Preoperatively three patients and post-operatively one patient had radial nerve palsy; all had neurapraxia and recovered completely. Overall, 34 (94.4%) patients were adjudged to have complete radiological union within 3 months; 2 (5.5%) patients developed non-union. Mean flexion achieved was 122.9\u00b0 \u00b1 23\u00b0, and mean extension was \u22124.03\u00b0 \u00b1 6.5\u00b0; 1 patient with head injury developed flexion deformity of 45\u00b0. Average MEPS at the final follow-up was 90.8\u00b0 \u00b1 9.9\u00b0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stable reconstruction and early initiation of physiotherapy are utilitarian to envision optimal outcome; the use of precontoured extra-articular distal humerus locking plates has yielded satisfactory results with minimal complications in our hands.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499017727948","type":"journal-article","created":{"date-parts":[[2017,8,28]],"date-time":"2017-08-28T03:46:27Z","timestamp":1503891987000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":26,"title":["Functional outcome of extra-articular distal humerus fracture fixation using a single locking plate: A retrospective study"],"prefix":"10.1177","volume":"25","author":[{"given":"Vivek","family":"Trikha","sequence":"first","affiliation":[{"name":"JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prabhat","family":"Agrawal","sequence":"additional","affiliation":[{"name":"JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saubhik","family":"Das","sequence":"additional","affiliation":[{"name":"JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sahil","family":"Gaba","sequence":"additional","affiliation":[{"name":"JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arvind","family":"Kumar","sequence":"additional","affiliation":[{"name":"JPN Apex Trauma Centre, All India Institute of Medical Sciences (AIIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2017,8,28]]},"reference":[{"key":"bibr1-2309499017727948","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B11.17634"},{"key":"bibr2-2309499017727948","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(10)80002-3"},{"key":"bibr3-2309499017727948","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198812000-00001"},{"key":"bibr4-2309499017727948","first-page":"843","volume-title":"Rockwood and Green\u2019s fractures in adults","volume":"1","author":"Epps 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