English

Abstract

Distal humerus fracture in adult is very difficult to treat. It is very difficult to achieve alignment, anatomical reduction, rigid fixation, immediate mobilization and fracture union in such patient MATERIAL AND METHOD-We operate 41 patient of close extra articular fracture of distal third of humerus, using posterior approach. 10 cases were fixed with single locking plate,6 cases by single distal multiple hole plate,12 cases by two reconstruction plate,6 cases by simple T plate,7cases by oblique metaphyseal locking plate. RESULT- Double plating with reconstruction plates provide a more rigid fixation than a single-locked plate. CONCLUSION- Fixation of extra articular distal humerus, diaphyseal fracture in adult are better with double plating than single plating, which provide more rigid fixation with early mobilization and higher mayo elbow score. INTRODUCTION : Fractures of distal humerus are rare injuries in adults (1). Distal humeral fractures make it difficult to use upper limb for activities of daily living such as eating, wearing clothes, maintaining body hygiene etc. To use elbow effectively, stable reduction and fixation of these fractures is necessary. Fractures of the distal humerus remain a challenging problem despite advances in technique and implants. Joint function often is compromised because of stiffness, pain, and weakness. Rarely is a normal elbow the outcome after these fractures, but outcomes have been improved with advances in implant technology, surgical approaches, and rehabilitation protocols. These fractures are difficult to manage because of poor bone quality in distal humerus. The appropriate treatment of extra-articular distal humerus fractures is controversial. Most distal humeral fractures in adults must be treated operatively, in contrast to fractures of the proximal humerus or humeral shaft. Nonoperative treatment with the bag of bones technique may be reasonable in an elderly patient with significant medical comorbidities. When operative fixation is indicated for humeral shaft fractures, plate osteosynthesis is the gold standard to which other