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Objective: The present study aimed to evaluate and compare the clinical and radiological outcomes of anterolateral or posterolateral dual plating in patients who underwent surgery because of extra-articular fractures of the distal one-third of the humerus. Methods: Patients were followed-up for a minimum of 2 years and were evaluated and compared with each other in terms of union time, surgery duration, intraoperative fluoroscopy shot count, iatrogenic nerve injury, infection, need for revision surgery, and elbow flexion-extension degrees and Disabilities of Arm, Shoulder and Hand (DASH) scores at the last follow-up. Results: Twenty patients (mean age 35.6 ± 5.4 years; range 25-47) who underwent surgery and received anterolateral dual-plate fixation were compared with 19 patients (mean age 34.7 ± 4.8 years; range 23-47) who underwent posterolateral dual-plate fixation between January 2018 and October 2021 (P > .05). No significant differences were observed between the 2 groups in terms of sixth month DASH score, union time, elbow flexion, elbow extension, infection, iatrogenic nerve injury, or need for revision surgery (P > .05). However, the differences in duration of surgery and number of fluoroscopy shots between the groups were significant (P < .05). Conclusion: Because the patient lies in the supine position during anterolateral dual plating, there is a positional advantage over posterolateral dual plating, particularly in polytrauma patients. Anterolateral dual plating is a safer alternative to posterolateral dual plating because of the shorter preoperative preparation and the lower fluoroscopy shot counts.

Abstract Recent studies on fibular osteotomy for varus gonarthrosis and possible subsequent biomechanical changes have attracted increasing attention to the topic. Existing studies have focused mainly on proximal fibular osteotomy with short follow-up periods. The aim of this study was to investigate changes in the alignment of the coronal plane of the ankle and knee joints in patients who underwent vascularized fibula graft harvest (VFGH). The evaluation was based on functional outcomes and radiological measurements.In the comparison between the VFGH side and the contralateral side, no significant differences in the knee inclination (KI) or talar inclination (TI) angle, knee medial clear space (K-MCS) or ankle medial clear space (A-MCS) distance were noted. However, a significant difference in the hip knee (HKA) angle was observed between the operated and nonoperated sides (0.3° ± 1.8° and 1.5° ± 1.9°, respectively [p = 0.019]). Statistically significant differences in both the knee society score (KSS) and the AOFAS scores were found between the ipsilateral donor limb and the contralateral healthy limb. Although the contralateral healthy side had better clinical scores than the VFGH side, the outcomes of the VFGH side were still satisfactory or excellent.