Abstract
Aims: The aim of this paper is to present our experience in the treatment of comminuted fractures of the distal humerus. Our surgical target was to reconstruct all three edges of the triangle to achieve the best functional result. Methods: In a period of 5 years, 28 patients who suffered a comminuted fracture of the distal humerus were operated with open reduction and internal fixation. Those were 21 males and 7 females with a mean age of 25 years. According to AO/ASIF classification there were 5 patients with A1 fracture, 3 pts A2, 6 B2, 8 B3, 3 C1, 1 C2 and 2 pt C3. In 25 patients was applied posterior approach after transolecranon osteotomy and lateral approach in the rest 3 patients. All patients were evaluated clinically and radiologically. Results: The mean time of follow up was 12 months. In 7 patients full range of motion was achieved, in 8 functional range of motion and in 4 limited but in functional range. The mean range of elbow flexion – extension arc was 115°. Complications included postoperative paresis of ulnar or radial nerve, ectopic bone formation and material failure. Conclusions: The comminuted intraarticular fractures of the distal humerus demand careful preoperative planning, extensive but atraumatic exposures and the use of the appropriate fixation materials for each case. Low complication rate and excellent functional results are ensured.
Theses abstracts were prepared by Professor Dr. Frantz Langlais. Correspondence should be addressed to him at EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
