@article{MAKHILLSJ201813119665,
    title = {Management of AO Type B&C Fractures of Distal Humerus in Adults with Two Column
Fixation},
    journal = {Surgery Journal},
    volume = {13},
    number = {1},
    pages = {1-13},
    year = {2018},
    issn = {1816-3211},
    doi = {sjour.2018.1.13},
    url = {https://makhillpublications.co/view-article.php?issn=1816-3211&doi=sjour.2018.1.13},
    author = {Deepak,Manjit,Sanjjiv,Parveen,K.S. and},
    keywords = {Adults,distal humerus,type C fractures,olecranon,posterior approach},
    abstract = {Accurate reconstruction of articular surface of
distal humerus by closed manipulation is not possible.
The recent trend for displaced intra-articular fractures of
the distal humerus is open reduction and stable
osteosynthesis with early rehabilitation. The best exposure
of both columns of the distal part of the humerus and
articular surface is achieved through trans-olecranon
approach. To evaluate the management and outcome of
two column fixation of intra-articular fracture of distal
humerus in adults by posterior approach via. olecanon
osteotomy and to restore early elbow joint function.
Twenty-five cases of intra-articular fractures of distal
humerus were treated by open reduction and internal
fixation. All the patients were of adult age group..
Chevron type olecranon osteotomy was performed and
fixed with tension band wiring in all cases and follow-up
period was upto 36 months. Regular clinical examination
and periodical radiological evaluation were done. All
fractures united within average duration of 3 months.
Results were evaluated as per Mayo Elbow performance
score. According to this criteria, excellent result was
achieved in 8 patients (32%), good in 13 (52%), fair in 3
(12%) and poor in 1 (4%) patients. Thus, satisfactory
result was obtained in 96% cases. The critical factors for
a successful outcome of intra-articular fractures of the
distal humerus depends upon severity of fracture,
meticulous surgical technique, stable internal fixation,
surgical experimentation and early controlled
postoperative mobilization.}
    }