A review on functional outcomes of intra-articular distal humerus fractures treated with recon plate using Mayo Elbow Performance Score (MEPS).


  • Abdullah Wali GTTH, Lahore.
  • Khadeej Chaudhry GTTH, Lahore.
  • Haseeb Hussain GTTH, Lahore.
  • Usama Ali Nawazish GTTH, Lahore.
  • Sadaf Saddiq GTTH, Lahore.
  • Rizwan Akram GTTH, Lahore.




Chevron Osteotomy, Distal Humerus Fracture, MEP Score, Recon Plates, Trans Olecranon


Objective: To Review on Functional Outcomes of Intra-articular Distal Humerus Fractures Treated with Recon Plate Using the Mayo Elbow Performance Score (MEPS). Study Design: Retrospective study. Setting: Department of Orthopaedic & Spine Surgery, Ghurki Trust Teaching Hospital, Lahore. Period: 2015 to 2021. Material & Methods: A total of 353 patients meeting the inclusion criteria enrolled in the study. Patients were followed up at three months postoperatively to assess functional outcome using the Mayo Elbow Performance Score (MEPS). All data were recorded on the proforma. All the collected data were entered and analyzed through SPSS version 22. The chi-square test was applied post-stratification, taking p≤0.05 as significant. Results: In this study, 353 patients were included; among these majority, 220(62.4%) were males, and 133 were female (37.7%). The mean Age of patients was 42.5±14.32, ranging from 18 to 75 years. 182(51.6%) were affected on the left side compared to the right Side 170(48.2%). In most cases, the history of a mode of injury was fall 266(75.3%), and only 87(24.6%) had RTA history. The average MEPS score was 87.37±15.81, ranging from 40 to 100. According to the distribution of functional outcome, 265(75.1%) reported excellent outcome, 52(14.7%) with good, 26(7.5%) as fair, and only 10(2.8%) reported poor outcome. Stratification of functional outcome and patient demographic history showed a statistically significant association between age, gender, side effect, mode of injury, and functional outcome as p<.05. Conclusion: It is concluded that Recon plates provided patients who had distal humerus fractures an excellent functional result. It provides reliable stabilization for fractures of the distal humerus. Due to its improved stability, the device aids early mobility even in fractures with complications. Therefore, the surgeon should use this technique to avoid complications.

Author Biographies

Abdullah Wali, GTTH, Lahore.

FCPS (Ortho), Resident Orthopaedics & Spine Centre, 

Khadeej Chaudhry, GTTH, Lahore.

FCPS (Ortho), Resident Orthopaedics & Spine Centre, 

Haseeb Hussain, GTTH, Lahore.

FCPS (Ortho), Assistant Professor Orthopaedics & Spine Centre, 

Usama Ali Nawazish, GTTH, Lahore.

FCPS (Ortho), Resident Orthopaedics & Spine Centre, 

Sadaf Saddiq, GTTH, Lahore.

M.Sc (Biostatistics), Clinical Research Officer Orthopaedics & Spine Centre, 

Rizwan Akram, GTTH, Lahore.

FCPS (Ortho), Ms.ME, FRCS (Glasgow), Professor Orthopaedics & Spine Centre,