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Year : 2015  |  Volume : 4  |  Issue : 1  |  Page : 11-15

Management of distal humerus fracture is not always a surgeon's nightmare!

1 Department of Orthopaedics, Sri Ramachandra Medical College, Chennai, Tamilnadu, India
2 Devadoss Orthopaedic Hospital, Madurai, Tamilnadu, India

Correspondence Address:
Dr. Ganesan Ram Ganesan
Department of Orthopaedics, B2, Sri Ramachandra Medical Centre, Chennai - 600 116, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1597-1112.169816

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Aim: To evaluate the functional outcome of distal humerus intercondylar fracture treated by open reduction and internal fixation. Methods: The prospective study of 42 patients with intercondylar humerus fracture treated at Sri Ramachandra Medical Centre between March 2010 and March 2014. The inclusion criteria were age above 19 years, Type C fractures of the distal humerus and closed fracture's. The exclusion criteria were extraarticular fractures of the distal humerus, unicondylar with intercondylar extension and open fractures. The rating system of the Mayo elbow functional scoring system was used. The patients were followed for a minimum of 1-year. Results: In 42 patients, 26 were males and 16 were females. In our series, we had 81% excellent/good results, 19% fair/poor result. We had complications in 7 patients. Two patients had early Kirschner-wire back out. One patient had an infection, and 4 patients had ulnar nerve neuritis. Conclusion: Meticulous surgical technique, stable internal skeletal fixation, and early controlled postoperative mobilization are critical factors for a successful outcome. Trans-olecranon approach with the patient in lateral position offers excellent exposure of the articular surface. Arc of motion was more important than the total range of motion. The clinical evaluation did not always correlate with the follow-up radiograph.

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