To study the outcome of intercondylar fractures of distal humerus using dual plating and its functional outcome

Abstract

Introduction: Distal humeral fractures account for approximately 2%–6% of all fractures and for approximately 30% of all elbow fractures [1]. The complex anatomy of the distal end of the humerus, with its unique orientation of articular surfaces supported by a meager amount of cancellous bone, makes its fracture a constant challenge to orthopaedic surgeons [2]. Materials and Methods: A prospective study was conducted in Tertiary hospital for a period of 1 year. We studied 25 consecutive patients with distal humerus intercondylar (AO Type C) fracture, included in study as per inclusion criteria. Discussion: Regardless of the method of treatment, substantial damage to the distal humerus usually results in some limitation of motion, pain, weakness, and possibly instability. Even minor irregularities of the joint surface of the elbow usually cause some loss of function. This can usually be minimized by early, accurate open reduction with sufficiently rigid fixation to permit immediate motion. Conclusion: Delay in open reduction internal fixation with delayed soft tissue dissection leads to increased chances of elbow stiffness due to periarticular fibrosis. Use of conventional plates will suffice and more importance should be given to achieve good intercondylar reduction and pillar reconstruction.