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Functional Outcome following Capitellum Excision in Isolated Capitellum Fracture: A Case Series

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Vol 05 Issue 1 | January 2024 | page: 15-17 | Saurav Narayan Nanda, Saswat Samant, Debashish Mishra, Sayashi

DOI: https://doi.org/10.13107/ojot.2024.v05i01.051

Received 02/07/2023; Reviewed 04/08/2023; Accepted 04/10/2023; Published 10/01/2024

Authors: Saurav Narayan Nanda [1], Saswat Samant [1], Debashish Mishra [1], Sayashi [1]

[1] Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Address of Correspondence

Dr Sayashi

Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Email: sayashi.96@gmail.com

Abstract

Background: Capitellum fractures are rare, and outcomes of fragment excision are reported by very few studies. The purpose of this study was to determine the range of motion and clinical outcomes for patients treated with capitellum excision.

Methods: Five patients with isolated capitellum fractures who underwent capitellum excision were retrospectively followed up for functional outcomes. The mechanism of injury, complications, type of fracture, and postoperative outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) score and Oxford Elbow Score. Final elbow range of motion (ROM) and elbow instability were also evaluated.

Results: The clinical follow-up was 12 months. The final examination demonstrated an average elbow range of motion from 8.3 degrees to 123.3 degrees flexion. Patients had full forearm rotation, and there was no clinical evidence of elbow instability. The DASH score and Oxford Elbow Score had improved for the patients at the final follow-up.

Conclusion: Capitellum excision can provide good functional outcomes in cases where open reduction and internal fixation cannot offer a satisfactory fixation and postoperative functional range of motion.

Keywords: Capitellum fractures, Excision, Range of motion, Clinical outcomes

References

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How to Cite this Article: Nanda SN, Samant S, Mishra D, Sayashi | Functional Outcome following Capitellum Excision in Isolated Capitellum Fracture: A Case Series | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 15-17 | https://doi.org/10.13107/ojot.2024.v05i01.051

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Outcome of Differential period of immobilization (4 weeks Vs 6 weeks ) of Colles’ Type Fractures of the Distal Radius in Geriatric population: A prospective study

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Vol 01 | January 2020 | page: 11-16 | Nirmal Chandra Mohapatra, Ramesh Chandra Maharaj, Jugaratna Khatua, Debi Prasad Nanda

DOI- 10.13107/ojot.2020.v41i01.005

Authors: Nirmal Chandra Mahapatra [1], Ramesh Chandra Maharaj [1], Jugaratna Khatua [1], Debi Prasad Nanda [1]

[1] Dept Of Orthopedics, SCB Medical College & Hospitals, Cuttack, Odisha India.

Address of Correspondence

Dr. Debi Prasad Nanda,
SCB Medical College & Hospitals, Cuttack, Odisha India
E-mail: drdebiortho@gmail.com

Abstract

Background: Perkin-Colles’ fracture however may leave behind a deformed wrist.
Aim: To evaluate how the period of immobilization in conservative treatment of extra-articular Colle’s type fractures of the distal radius affects functional outcome.
Objective: One group was immobilized for 4 week another group for 6 weeks.
Null Hypothesis: There is no difference between two groups in terms of functional outcome.
Methods: This prospective study included 70 patients and was carried in S.C.B. Medical College in Department of Orthopedics from 2017-19.One group was immobilized for 4 week another group for 6 weeks. Standard radiographs were made of both wrists in two directions after the fracture, then of the injured side on day 11 following repositioning, and at 3month and 6 month. Anatomical results were assessed by evaluating the dorsal angulation, loss of radial inclination, and loss of radial length. Functional results were assessed by the evaluation of pain, range of active motion, grip strength, and appearance of the wrist joint.
Results: 1-No Statistically significant difference between two groups in terms of functional outcome in 6 months 2- Statistically significant difference between two groups in terms of functional outcome in 3 months.
Conclusion: In long term follow up there is no difference in functional outcome with respect to period of immobilization rather it is more related to the radiological (anatomical) outcome.
Keywords: Casts, Conservative, Mayo score, Colles’ fracture, hand strength, prospective studies, radiography, range of motion, articular; treatment failure.

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How to Cite this Article: Mahapatra N C, Maharaj R C, Khatua J, Nanda D P. | Outcome of Differential period of immobilization (4 weeks Vs 6 weeks ) of Colles’ Type Fractures of the Distal Radius in Geriatric population: A prospective study. | Odisha Journal of Orthopaedics and Trauma | January 2020; 01: 11-16 . https://doi.org/10.13107/ojot.2020.v41i01.005

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