International Journal of Orthopaedics Sciences

Functional outcome of surgical management of intercondylar fracture of distal humerus in adults by olcranon approach- A retrospective study

2019, Volume 5 Issue 4

Functional outcome of surgical management of intercondylar fracture of distal humerus in adults by olcranon approach- A retrospective study

Author(s): Dr. Shivanna and Dr. Mahadevprasad
Abstract: Background: An intercondylar injury after distal humerus are uncommon injuries and present the most difficult challenge of fracture of lower end humerus. There is an increase in the incidence of injury of intercondylar fractures in the younger age population due to fall, road traffic accidents and also in the older population due to fall, increased weight and increased life expectancy and poor bone mineral density. The aim of our study is to analyse the functional outcome of distal humerus intercondylar fractures fixation through olecranon osteotomy and comparing the outcome results with the previous literatures.
Material and Methods: The retrospective study was carried out at our institute, collecting the records retrospectively from 2019 going back upto 2015. Thirty three patients were treated with open reduction and internal fixation with olecranon osteotomy approach. All distal humerus intercondylar fractures were fixed with Locking compression plate and olecranon osteotomy was fixed with tension band wiring, either with k wire or cancellous screw fixation. These patients were retrospectively assessed using patient documentation like X rays and charts and clinical examination records. The final outcome then assessed with Rise Borough Radin scoring system.
Results: Fifteen patients belong to age group 21-35yrs followed by 9 were in the age group 50 to 65 yrs,5were in the age group 36-50yrs and 4 were more than 65 years. Minimum age was 22yrs and maximum age was 70yrs. Mean age of the study was 43.03 +15.71yrs. Majority of the subjects 54.5% were male and 45.5% were female. Majority of the patients sustained injury due to fall and road traffic accidents. Majority of the patients (60.6%) had type 3 fracture followed by 27.3% had type 2 fracture and 12.1% had type 4 fracture. Twenty six patients (78.8%) did not had any complications, 2 patients had implant breakage, 2 patients suffered superficial infection, 2 patients had ulnar neuropathy and one of the patient had non-union. Most of the patients (48.5%) had good results followed by 36.4% had fair results and 15.2% had poor results.
Conclusion: The present study was conducted to assess the functional outcome of surgical management of Thirty three cases of intercondylar fracture of distal humerus by olecranon approach. Well exposure of distal articular surface of humerus is mandatory to achieve the anatomical reduction of the Comminuted distal humeral fractures. Olecranon osteotomy approach yields better such exposure.
Pages: 399-402  |  760 Views  60 Downloads
How to cite this article:
Dr. Shivanna, Dr. Mahadevprasad. Functional outcome of surgical management of intercondylar fracture of distal humerus in adults by olcranon approach- A retrospective study. Int J Orthop Sci 2019;5(4):399-402. DOI: 10.22271/ortho.2019.v5.i4g.1705
 
International Journal of Orthopaedics Sciences
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