{Reference Type}: Journal Article
{Title}: Low and high body mass index and lower numbers of screws in the articular segment are risk factors for non-union of distal humeral fractures in the elderly: A multi-center retrospective study (TRON study).
{Author}: Iwase K;Takegami Y;Tokutake K;Oshika Y;Yokoyama H;Tanaka K;Sakai T;Imagama S;
{Journal}: Shoulder Elbow
{Volume}: 16
{Issue}: 3
{Year}: 2024 Jul
暂无{DOI}: 10.1177/17585732221131923
{Abstract}: <B>UNASSIGNED: </B>Distal humerus fracture in the elderly is a challenging fracture for orthopedic surgeons. Non-union is one of the serious complications of distal humerus fracture after surgery. This retrospective multicenter study aimed to estimate the incidence of distal humeral non-union after open reduction and internal fixation, determine factors related to non-union, and compare the postoperative results of cases with non-union to cases with the union.<BR><B>UNASSIGNED: </B>Among 423 patients diagnosed with distal humeral fracture and who were treated by surgical therapy in 2010-2020 from our database called TRON. Only 190 subjects met the inclusion criteria. We performed a logistic regression analysis with the presence of non-union as the response variable to examine risk factors. We compare the Mayo Elbow Performance Scores of cases with non-union to cases with the union.<BR><B>UNASSIGNED: </B>Non-union occurred after surgery in 15 patients (7.9%). The logistic regression analysis showed that body mass index<20 kg/m2 and ≥25 kg/m2, and ≤3 screws in the articular segment were significant explanatory factors for non-union (odds ratio 10.4 and 47.8, respectively). The Mayo Elbow Performance Scores were significantly worse in patients with non-union.<BR><B>UNASSIGNED: </B>Low and high body mass index and three or fewer screws in the articular segment might be risk factors for non-union of distal humerus fracture in the elderly. Non-union is associated with poor clinical outcomes.