Paper| Volume 26, ISSUE 3, P169-173, April 1995

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Operative treatment of type C intra-articular fractures of the distal humerus: the role of stability achieved at surgery on final outcome

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      We report the results of 75 patients with type C intra-articular fracture of the distal humerus treated operatively by two methods and followed up for a mean period of 48.2 months. Minimal osteosynthesis and joint immobilization was used in 21 cases while the remaining 54 patients were treated according to AO recommendations. Good or excellent results were found in 38 per cent after minimal osteosynthesis and in 77.8 per cent following the AO technique. 87.8 per cent of the cases with stable osteosynthesis and early mobilization had a good or excellent result as compared with 41.2 per cent of the cases after unstable fixation and immobilization of the joint (P < 0.01). The type of fracture was found to be an important factor in achieving stable fixation (P < 0.01).
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        • Watson-Jones R
        4th Ed. Fractures and Joint Injuries. Vol 2. Williams & Wilkins, Baltimore1960
        • Conn J
        • Wade PA
        Injuries of the elbow: a ten year review.
        J Trauma. 1961; 1: 248
        • Riseborough EJ
        • Radin EL
        Intercondylar T fractures of the humerus in the adult. A comparison of operative and non-operative treatment in twenty-nine cases.
        J Bone Joint Surg [Am]. 1969; 51A: 130
        • Apley AG
        5th Ed. System of Orthopaedics and Fractures. Butterworths, London1973: 416
        • Miller WE
        Comminuted fractures of the distal end of the humerus in the adult.
        J Bone Joint Surg [Am]. 1964; 46A: 644
        • Johansson H
        • Olerud S
        Operative treatment of intercondylar fractures of the humerus.
        J Trauma. 1971; 111: 836
        • Mueller ME
        • Allgoewer M
        • Schneider R
        • Willenegger H
        2nd Ed. Manual of Internal Fixation: Techniques Recommended by the AO Group. Springer-Verlag, Berlin1979: 180
        • Huggler AH
        • Ruedi TH
        • Allgoewer M
        Intaartikulaere distale Humerusfracturen beim Erwachsenen.
        Orthopade. 1981; 10: 280
        • Lob G
        • Burri C
        • Feil J
        Die operative behandlung von distalen intaartikularen Humerusfrakturen; Ergebnis von 4112 navhkontrollierten Fallen (AO-Sammelstatistik).
        Langenbecks Arch Chir. 1984; 364: 357
        • Noack W
        • Kreusch-Brinker R
        • Trepte CT
        Ueber Indikation und Ergebnisse der operativen Behandlung von distalen intaartikularen Humerusfrakturen beim alten menschen.
        Z Orthop. 1987; 125: 233
        • Jupiter JB
        • Neff U
        • Holzach P
        • Algoewer M
        Intercondylar fractures of the humerus: an operative approach.
        J Bone Joint Surg [Am]. 1985; 67A: 226
        • Gabel GT
        • Hanson G
        • Bennett JB
        • Noble PC
        • Tullos HS
        Intraarticular fractures of the distal humerus in the adult.
        Clin Orthop. 1987; 216: 99
        • Letsch R
        • Schmit Neeuerburg KP
        • Sturmer KM
        • Walz M
        Intraarticular fractures of the distal humerus. Surgical treatment and results.
        Clin Orthop. 1989; 241: 238
        • Holdsworth BJ
        • Mossad MM
        Fractures of the adult distal humerus.
        J Bone Joint Surg [Br]. 1990; 72B: 362
        • Mueller ME
        • Nazarian S
        • Koch P
        AO Klassifikation der Frakturen. Springer-Verlag, Berlin1989
        • Cassebaum WH
        Open reduction of T and Y fractures of the lower end of humerus.
        J Trauma. 1969; 9: 915
        • Schatzker J
        Fractures of the distal end of the humerus.
        in: Schatzker J Tile M The Rationale of Operative Fracture Care. Springer-Verlag, Berlin1987: 71
        • Shetty S
        Surgical treatment of T and Y fractures of the distal humerus.
        Injury. 1983; 14: 345
        • Scharplatz D
        • Allgoewer M
        Fracture dislocations of the elbow.
        Injury. 1975; 7: 143
        • Burri C
        • Rutter A
        Fracturen des distallen Humerus.
        in: Burri C Rutter A Vertletzungen des Ellenbogens. Springer-Verlag, Berlin1982
        • Bryan RS
        • Morrey BF
        Fractures of the distal humerus.
        in: Morrey B The Elbow and its Disorders. WB Saunders, Philadelphia1985: 302 (Part III, Chapter 18)
        • Merle D'Aubigne R
        • Meary R
        • Carlioz J
        Fractures sus et intercondylienners recentes de l'adulte.
        Rev Chir Orthop. 1964; 50: 279
        • Noack W
        • Rogmans D
        Ergebnisse nach konservativer und operativer Behandlung von Ellenbogengelenkstrummer und Stuckfrakturen.
        Orthop Praxis. 1983; 12: 859