Objectives. Distal humerus fractures in elderly population are often comminuted and presents multiple challenges. When managed with fixation the results are often complicated with stiffness, pain, and reduced function while total elbow replacement is fraught with lifelong restrictions on load bearing which can significantly affect elderly patients who rely assistive devices for ambulation. Elbow hemiarthroplasty however, presents a viable alternative in these cases. This series evaluates the results of the distal humerus hemiarthroplasty in a single centre. Designs and methods. Data was collected retrospectively. Comprehensive case reviews were done to collect demographic, intra-operative and post-operative data. Fractures were classified as per AO classification. The primary outcome was functional outcome and range of motion (ROM). The secondary outcomes were complications and patient satisfaction. Results. 22 cases were included in this study from 2016 – 2023 majority being females (n=18). Mean age was 74years (SD −11.2). Majority fractures were AO type C3 (n=15) with two A2 type fractures managed for non-union. Pre-existing bone on bone arthritis was present in 3 cases and CT scan was done for 12 patients to assess fracture configuration. Excluding those treated for non- union the median time between fracture and surgery was 8.5 days. Follow-up of more than 6 months was available for 16 patients with median follow-up of 18 months. ROM was available for 17 patients with 13 (50%) patients having functional ROM. No patients had full extension and there was a mean lag of 20. 0. Mean flexion was 118.2. 0. Nearly 2/3. rd. patients (73%- n=16) were satisfied with the surgery with no problems in activity of daily living. Complications seen were ulnar neuropathy (n=3), heterotopic ossification(n=2) and periprosthetic fracture (n=1). Conclusion. This single centre study suggests good outcomes following distal humerus hemiarthroplasty. It is a reasonable alternative to fixation and total elbow arthroplasty in complex fractures

Purpose. To evaluate outcome after cementless bipolar hemiarthroplasties using a standard(tapered, rectangular) stem for the treatment of above type A2 fractures in elderly patients. Material and methods. We reviewed the records of 37 patients who underwent bipolar hemiarthroplasty between February 2006 and Feburuary 2010 in our hospital who were followed for more than two years after surgery. The mean patient age was 73.5 years old (range 64∼88 years old). 16 patients were men, and 21 patients were women. We evaluated the results by analyzing operation time, amount of bleeding, recovery of walking ability, complications and radiologic findings. Result. The mean operation time was 75.3 minutes. The average total amount of bleeding was of 755.5 cc. At the last follow-up, 23 patients (62%) had recovered walking ability. Complications included a deep infection in one case, 1 cases of acetabular erosion, 2 cases of greater trochanter non-union. There were no revisions due to prosthesis loosening or another reason. Conclusion. Cementless bipolar hemiarthroplasty using a tapered, rectangular stem can be an alternative treatment for type A2 intertrochanteric fractures in elderly patients so as to achieve earlier mobilisation