Abstract

INTERNAL FIXATION OF TYPE C FRACTURE OF DISTAL HUMERUS

Dr. S. Santhosh*

Abstract

Background: Type C fracture of distal humerus is a relatively uncommon fracture. Internal fixation is difficult but anatomical reduction is needed to prevent poor functional outcome and degenerative changes. Methods: Twenty two cases with type C fracture of distal humerus including 6 having grade I compound fracture were treated with open reduction and internal fixation. Dual 3.5mm reconstruction plates in two planes were used in 17 patients and single plate was used in 5 patients. Patients were followed up for a mean period of 45 months (24 to 60 months). Results: All the fractures united at a mean duration of 13 weeks (8 to 20 weeks). Mean loss of extension (flexion deformity) was 280 (50 to 600). Mean range of movement achieved was 1060. Complications were few, except restriction of movement. Conclusion: Internal fixation is a good method of treatment for this type of fracture to get restoration of the articular surface anatomy, stable fixation and early mobilization.

Keywords: Internal fixation; Distal humerus fracture.