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ORIGINAL ARTICLE
Year : 2003  |  Volume : 37  |  Issue : 3  |  Page : 5-3

Closed intra-articular fractures of the distal end of humerus in adults - Operative treatment and results


Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
M Dhawan
Flat No. 1046, Sector - B, Pocket - 1, Vasant Kunj, New Delhi - 110 070
India
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Source of Support: None, Conflict of Interest: None


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One hundred and eight closed intra-articular fractures of distal humerus in adults were treated by operative fixation, from January, 1991 to December, 2000. Twenty four cases had unicondylar and 84 cases bicondylar type of fractures. As per AO/ ASIF classification, there were 24 cases of type B1, 36 cases of type C1, 24 cases each of type C2 and type C3 category. The fractures were stabilized according to AO/ASIF recommendations; the aim of treatment being stable internal fixation and early mobilization. The average follow-up was of sixty months and the results were 31% excellent, 33% good, 19% fair and 17% poor. Delayed fixation of the fracture did not alter the outcome of final result in our study. Most of elbow function was seen to be acquired at three months after surgery and no improvement was seen after six months in spite of standard physiotherapy.


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