Functional outcome of surgical management of distal end humerus fractures in adults: A prospective study

Abstract

Introduction: Distal humerus fractures are uncommon injuries that account for fewer than 2%of all adult fractures. The aim of the study is to evaluate the functional outcome of the surgical management of distal humerus fractures in adults treated by various methods using the postoperative functional criteria by Riseborough and Radin.Materials and Methods: A Prospective clinical study was conducted over a period of 2 years which included 20 patients in tertiary care centre. The patients were treated with primary open reduction and internal fixation.Results: The average age of the patients in our study was 35.8 years with a range of 23-53 years. In our series, according the Riseborough and Radin criteria, the results were good in 50% patients, Fair in 35% and Poor in 15% patients.Conclusion: Operative treatment with rigid anatomical internal fixation should be the first line of treatment for all grades of Riseborough Radin intercondylar fractures, more so in young adults as it gives best chance to achieve good elbow function. Vigorous, active physiotherapy is a must for good results. Stable fixation allows early, active and aggressive post-operative mobilization.