Open intercondylar fractures of the distal humerus: Management using a mini–external fixator construct

Abstract

Intercondylar fractures of the distal humerus are a challenging entity to treat. Open reduction-internal fixation with plating is well accepted as the standard treatment for these fractures, because it allows early mobilization and prevents joint stiffness. However, this technique may be associated with inferior postoperative results and a higher risk of infection in open fractures. External fixation appears to be an interesting option in such cases, where the results of open reduction-internal fixation with plating may be suboptimal. We present a bilateral uniplanar mini-external fixator construct for the treatment of open intercondylar distal humeral fractures. We managed 8 cases with this external fixation technique, with 6 of 8 patients achieving good to excellent results as determined by Cassebaum's rating system.