Outcome of dual column fixation for intra articular distal humerus fracture

Abstract

Introduction: In young adults, most distal humerus fracture occurs from high energy trauma, sideswipe injuries, road traffic accidents, fall from height, and gunshot wounds. and also it follows a bimodal age distribution (1). Most distal humerus fractures are intra-articular and involve both the medial and lateral columns Aim: To evaluate functional and radiological outcome of patients treated with bicolumn fixation with LCP in intra-articular distal humerus fractures. Materials and Methods: Our study is a prospective study in which we selected 20 cased remdomly with distal humerus fracture with intraarticular extension and treated with open reduction and internal fixation with dual plating. Results: Union was achieved in all cases with in study period. There was no case of non-union, elbow stiffness occurred in one patient. Conclusions: Proper functioning of elbow joint depends on anatomical reduction and good fixation of intraarticular fracture with dual LCP and early mobilization so that mobilization of elbow should be started as early as possible after fracture fixation.