A study of surgical management of intercondylar fractures of distal humerus in adults using pre-contoured locking compression plate through trans-olecranon approach

Abstract

Introduction: Intercondylar fractures of distal humerus are uncommon injuries and present the most difficult challenge among fractures of lower end of humerus. Distal humerus fractures with intra-articular extension are complex injuries that require meticulous approach for fixation. The principle involves anatomical reduction and absolute fixation with perfect stabilization of extra osseous implants. The functional outcome has been greatly influenced by the early graduated rehabilitative exercise. Aim and Objectives: The Aim of the present study is to evaluate the Functional Outcome of Surgical Management of Intercondylar Fractures of distal humerus in Adults by Open Reduction and Internal Fixation using pre-contoured locking compression plates through trans-olecranon approach. Material and Methods: Prospective study includes 20 Adult patients with intercondylar fracture of distal humerus admitted to KVG Medical College, Sullia between the periods January 2014 to January 2016 satisfying inclusion criteria. Results: In this study of 20 cases, there were 10 males and 10 females with average of 50.8 years. 12 cases were due to RTA and 8 due to direct fall. There was a predominance of left side (13). Out of 20 Cases, 3 (15%) were of B1 type, 1 (5%) were of type B2, 6 (30%) were of C1, 5 (25%) of C2 and 5 (25%0 were of type of C3. Excellent results in 12 (60%), good in 4 (20%), fair in 3 (15%) and poor results in 1 (5%) case, according to MEPS. Conclusion: Anatomically pre-shaped distal humerus locking plate system is useful in providing stable fixation for complex distal articular fracture and facilitating early postoperative rehabilitation. Clinical and radiological results show good healing rate with good range of motion.