Operative management of closed intra-articular fractures of distal end of humerus in adults

This is a study of 60 patients with mean age of 30 years having intra-articular fracture of distal humerus of type C (AO classification). We treated these fractures by open reduction and internal fixation through transolecranon approach. Mean duration of operative time with that of injury was 10 day...

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Bibliographic Details
Published inJournal of the Indian Medical Association Vol. 109; no. 6; p. 418, 423
Main Authors Bhattacharyya, Arunangsu, Jha, Amrish Kumar, Chatterjee, Debdutta, Ghosh, Bappaditya, Roy, Sandip Kumar, Banerjee, Debabrata
Format Journal Article
LanguageEnglish
Published India 01.06.2011
Subjects
Adult
Bone Plates
Clinical Protocols
Early Ambulation
Elbow Joint - diagnostic imaging
Elbow Joint - injuries
Elbow Joint - physiopathology
Elbow Joint - surgery
Female
Fracture Fixation, Internal - instrumentation
Fracture Fixation, Internal - methods
Fracture Healing
Humans
Humeral Fractures - diagnostic imaging
Humeral Fractures - physiopathology
Humeral Fractures - surgery
Humerus - diagnostic imaging
Humerus - injuries
Humerus - physiopathology
Humerus - surgery
Internal Fixators
Intra-Articular Fractures - diagnostic imaging
Intra-Articular Fractures - physiopathology
Intra-Articular Fractures - surgery
Male
Postoperative Care - methods
Postoperative Complications - etiology
Postoperative Complications - therapy
Radiography
Range of Motion, Articular
Treatment Outcome
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Summary:This is a study of 60 patients with mean age of 30 years having intra-articular fracture of distal humerus of type C (AO classification). We treated these fractures by open reduction and internal fixation through transolecranon approach. Mean duration of operative time with that of injury was 10 days. In all the cases 1st the intracondylar fracture was fixed followed by reconstruction and stabilisation of medial and lateral pillar by 1/3 tubular plate and 3.5 mm dynamic compressent plate (DCP) or recon plate respectively. Minimum follow-up was of 1 year duration with average follow-up of 3 years. We could achieve 100% union with mean range of movement at the and of 1 year was 20 degree to 110 degree. Two fractures had delayed union, 5 patients had skin complications for which extended dressing was required. None of these patients required SSG or secondary suture.
ISSN:0019-5847