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Table 2 Complication comparison with previous reports

From: Complications associated with open reduction and internal fixation for adult distal humerus fractures: a multicenter retrospective study

Complications (n, %) and functional outcome

Study group

Sanchez–Sotelo (n = 32) (2007)

Clavert (n = 289) (2013)

Patel (n = 43) (2020)

Authors (n = 170)

Parallel plate Complex fracture

Above 65 Plate fixation

Contoured locking plate

Above 17 Plate fixation

Nerve related

Pre-operative nerve symptoms

1 (3%)

14 (4.8%)

8(18.6%)

11 (6.5%)

Ulnar nerve symptoms: spontaneously recovered

2 (6%)

21 (7.3%)

3(7.0%)

15 (8.8%)

Ulnar nerve symptoms: required operation

4(9.3%)

11 (6.5%)

Other nerve symptoms

 

7 (2.4%)

1(2.3%)

4 (2.4%)

Fixation and instrument related

Screw joint penetration

   

1 (0.6%)

Reduction loss and implant loosening

 

20 (7.0%)*

 

1 (0.6%)

Metal breakage

  

0

Skin implant irritation

 

38 (13.2%)

 

8 (4.7%)

Osteosynthesis related

Non-union of fracture

1 (3%)

18 (6.3%)

4(9.3%)

7 (4.1%)

Mean union period (Week)

   

18.6 ± 11.2

Non-union of Olecranon osteotomy

1/5 (20%)

 

1/22(5%)

1/82 (1.2%)

Infection

Superficial infection

 

14 (4.8%)

 

2 (1.2%)

Deep infection

1 (3%)

4(9.3%)

4 (2.4%)

Wound complications

2 (6%)

11 (3.8%)

 

7 (4.1%)

Others

Heterotrophic ossification

12 (38%)

73 (25.2%)

4(9.3%)

37 (21.8%)

Elbow stiffness (cannot achieve 30°–130° of arc)

19 (59%)

 

8(18.6%)

79 (46.5%)

Osteoarthritis (Broberg and Morrey Grade II or III)

2 (6%)

50 (17.3%)

4(9.3%)

41 (24.1%)

Complex Regional Pain Syndrome

   

2 (1.2%)

Range of motion

Extension–flexion arc (°)

26–125°

24–121°

 

9.5–124°

DASH score

 

85(MEPS)

83(MEPS)

 

14.4 ± 15.2

  1. MEPS Mayo elbow performance score
  2. * Clavert at el didn’t separately discribe implant loosening and metal breakage. They reported 7% of Fixation failure rate retrospectively