Study of functional outcome of intercondylar fracture of distal humerus in adults treated with distal humerus locking plate
Amit Raj, Avinash Kumar, Anubhav Jain, Santosh Kumar
This study is done to evaluate the functional outcome of intercondylar fracture of distal humerus in adults treated with distal humerus locking plate.
Material and Methods: This study is prospective postoperative evaluation of 20 patients with distal humerus fracture (Close and Open grade 1 and Intra-articular distal humerus fracture type B and C) who were treated with Open reduction and internal fixation with plating.
Results: All patients treated with open reduction and internal fixation with plate using posterior approach to elbow with olecranon osteotomy, achieved union by end of 6 months. Mayo elbow performance score at final 9 months were noted as excellent (more than 90) in 12(60%) patients, good (75-89) in 4 (20%) patients, fair (60-74) in 3 (15%) patients, and poor(less than 60) in 1 (5%) patient. Few complications like elbow stiffness in 2 patients, superficial infections in 3 patients, 1 case of ulnar nerve neurapraxia were noted which were treated conservatively. There were no major complications.
Conclusion: The distal humerus intraarticular fracture of humerus can be managed effectively by operative management. The surgical method requires anatomic reduction and stable and rigid fixation with reconstruction of articular congruity and also requires post-operative early mobilisation, which is a must for good outcome.