Surgical management of intercondylar fracture of distal humerus in adults by olecranon osteotomy

Abstract

Intercondylar fracture of the distal humerus are uncommon injuries and present the most difficult challenge of the fracture of lower end of humerus. Restoration of the articular surface of distal humerus must be nearly perfect and sufficiently rigid to permit early mobilization of the elbow if the results is to be satisfactory. This is a prospective study of 20 cases of intercondylar fracture of distal humerus in adults admitted to hospital, between august 2011 to September 2013. Cases were taken according to inclusion and exclusion criteria i.e. with intercondylar fracture distal humerus above the age of 18 years and fit for surgery. Medically unfit and not willing for surgery were excluded from the study. Good results seen in 8 cases, fair results in 9 cases and poor results in 3 cases. There were 2(10%) cases each of superficial infection, implant failure, ulnar neuropathy and one (5%) case of non- union and they treated accordingly. Operative treatment with rigid anatomical internal fixation. Should be the line of treatment for all grades of riseborough radin internal fracture as it gives best chance to achieve good elbow function.