J Korean Fract Soc.  2006 Apr;19(2):208-214. 10.12671/jkfs.2006.19.2.208.

Comminuted Intercondylar Fracture of the Distal Humerus in Adults

• Oh JR
• Yoon YS
• Lee DK
• Her MS

• KMID: 2063851
• DOI: http://doi.org/10.12671/jkfs.2006.19.2.208

Abstract

PURPOSE: To evaluate the therapeutic results of communited intercondylar fractures of the distal humerus that were treated by surgical treatment.
MATERIALS AND METHODS
From January, 1998 to December, 2004, we reviewed fifteen cases of intercondylar fracture of the distal humerus, which were treated by surgical treatment. The follow up period ranged from six month to 5 years. The functional results were evaluated using Broberg and Morrey's functional scale according to surgical approach, type of plate and location of plating.
RESULTS
The functional results were as follows; seven excellent, six good, one fair and one poor. The mean range of motion in elbow joint was 7~106 degrees. The mean functional score was 86.6 points through olecranon osteotomy, 90.5 points through Campbell's posterior approach. The mean functional score was 91.6 points in cases using 2 reconstruction plate, 78 points in cases using 1 reconstruction plate and 1/3 semitubular plate, and 86 points in case using 1 reconstruction plate and lag screws. The mean functional score was 88.9 points in cases by posterior and lateral fixation, 86 points in cases by both posterior fixation and 97 points in case by both lateral fixation.
CONCLUSION
There are no significant differences in treatment outcome according to surgical approach, different plate and location of plating.

Keyword

Humerus; Intercondylar fracture; Internal fixation

MeSH Terms

Adult*
Elbow Joint
Follow-Up Studies
Humans
Humerus*
Olecranon Process
Osteotomy
Range of Motion, Articular
Treatment Outcome