J Korean Fract Soc.  2000 Apr;13(2):303-310.

Opreative Treatment of Intra-articula T or Y

• Kom YK
• Eom GS

Abstract

PURPOSE : To evaluate the results after rigid fixation for intraarticular distal humerus fractures and determine the prognostic factors influencing outcome.
MATERIALS AND METHODS
: Twenty-two patients were managed with the rigid fixation using dual plate or one plate combined with cannulated screw. According to the M ller's classification, eleven cases were classified as type C1; five, as type C2; and six, as type C3. Based on the age, the patients were divided into two groups as a guideline of 50 years so that the number of the patients was 11 cases respectively. RUSULTS : By the rating scale from Aitken and Rorabeck, excellent or good results were 90% in type C1, 80% in type C2 and 66% in type C3. All patients who were under 50 years of age obtained excellent or good results, and group who were older than 50 showed 64% good results.
CONCLUSION
: Rigid fixation using dual plate and early mobilization using functional brace were considered to be a good method for intraarticular distal humerus fractures. And, this study revealed that comminution of fracture and age became an important factors in achieving the desire results.

Keyword

Distal humerus; Imtraarticular fracture; Rigid fixation; Early mobilization

MeSH Terms

Braces
Classification
Early Ambulation
Humans
Humerus