Short Term Evaluation of Intra Articular Fracture Fixation of Distal Humerus in Adults without Olecranon Osteotomy (Triceps Splitting Approach)


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Volume :

3

Issue :

2

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.
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