Functional evaluation of intra articular fractures of distal humerus in adults after open reduction and internal fixation

Abstract

The result of operative fixation of fractures of the distal humerus remained unpredictable until improved techniques for the fixation of small, articular fractures as developed by the Arbeitsgemeinschaft fur osteosynthesefragen / association for the study of internal fixation and others were applied. On the basis of the results reported in the more recent series, fixation with two plates of 90 degrees angle with one another has become the standard against which all other treatments are measured. The study was conducted in Medical College, and there were 14 cases in the study in which 9 were males and 5 females. Age of the patients ranged between 25 years and 75 years with an mean age of 48.2 years. Among the 14 cases, 8 were caused by fall (57%) and six were caused by Road Traffic accidents (43%).Two patients in our series had mild infection. Ulnar neuropathy, Tournequette palsy and Non-union were reported one each.3 patients had pain due to protruding screws. None in the series had vascular complications and none developed heterotopic ossification