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 |