CLOSED INTRA- ARTICULAR FRACTURES OF THE DISTAL END OF HUMERUS SURGICALLY TREATED BY TRANS- OLECRANON APPROACH USING THE CHEVRON OSTEOTOMY

Abstract

Introduction:The trans-olecranon approach has been suggested to improve the visualization of complex intra-articular distal humerus fractures.This approach involves an osteotomy of the olecranon to give better access to the distal humerus.The most commonly used technique is a distally-based chevron osteotomy as this provides greatest access and has inherent rotational stability. Materials and Methods: This is a retrospective study of 50 patients treated at department of orthopaedics that includes newly diagnosed patients with presenting themselves in casualty and OPD, On admission of the patient after injurt,a thorough history was taken,local examination of elbow was done, Diagnosis was confirmed by radiographs Results:This procedure resulted significant correction of deformity in all the patients with adequate range of movement Conclusion: Rigid anatomical fixation and early mobilization is the key communition of fragments show increased difficulty in fixation and results in loss of movements also.