Outcomes of Modalities of Treatment of  Intra Articular Fracture of Distal Humerus  in Adults

DR DIPAK A SHAH; DR MITUL MISTRY; DR UMANG AGRAWAL

Volume : II, Issue : VII, July - 2013

Outcomes of Modalities of Treatment of Intra Articular Fracture of Distal Humerus in Adults

Dr Dipak A Shah, Dr Mitul Mistry, Dr Umang Agrawal

Abstract :

Supracondylar intraarticular fractures of the distal humerus, because of their rarity and often associated significant displacement, comminution and osteopenia, present as a challenge. We have reviewed functional results obtained in a prospective study of 40 cases treated by closed or open reduction and internal fixation. Outcome was assessed by Mayo�s elbow performance score. Excellent and good results are obtaine in 90% of patients .Paratriceps approach used more commonly which involves minimal soft tissue damage and minimal damage to osseous vascularity though cassabaum approach gives good exposure in articular commonution. Rigid internal fixation is best accomplished by bipillar plate fixation and for optimal biomechanical stability both plates should be placed at right angle to each other. Post operative physiotherapy is most vital part.