Abstract :
Background: Intra articular fractures of distal humerus represent a challenging problem to modern day
orthopaedic surgeons due to the 3-dimensional geometry, limited peri-articular bone stock for internal fixation,
intra-articular comminution, and the need for early mobilization. The surgical goals are to obtain anatomic
restoration of the articular surface and recreation of joint alignment with stable internal fixation. This study
evaluates the functional & radiological outcome of internal fixation without olecranon osteotomy in distal
humeral intra articular fracture in adults. Methods: Institution based prospective study comprising of 21 patients
attending Orthopaedics emergency or O.P.D. of age group above 18 years with intra articular distal humerus
fractures, who were operated by olecranon osteotomy approach and followed up for approximately 1 year.
Functional and radiological outcomes, and associated complications were evaluated. Results: Out of 21 cases,
12 cases had Mayo Elbow Performance Score >90 and 10 cases had MEPS between 75 and 90. Conclusion:
Triceps splitting approach for distal humerus fracture fixation is associated with excellent functional outcome
and patient satisfaction.
Keyword :
Intra-articular, triceps-splitting, distal humerus, elbow trauma.