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TRAUMATOLOGY
Year : 2004  |  Volume : 38  |  Issue : 2  |  Page : 110-112

Internal fixation of type C fracture of distal humerus


Department of Orthopaedics, Regional Institute of Medical Sciences, Imphal, Manipur, India

Correspondence Address:
I Ibomcha Singh
Department of Orthopaedics, Regional Institute of Medical Sciences, Imphal, Manipur
India
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Source of Support: None, Conflict of Interest: None


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Background: Type C fracture of distal humerus is a relatively uncommon fracture. Internal fixation is difficult but anatomical reduction is needed to prevent poor functional outcome and degenerative changes. Methods: Twenty two cases with type C fracture of distal humerus including 6 having grade I compound fracture were treated with open reduction and internal fixation. Dual 3.5mm reconstruction plates in two planes were used in 17 patients and single plate was used in 5 patients. Patients were followed up for a mean period of 45 months (24 to 60 months). Results: All the fractures united at a mean duration of 13 weeks (8 to 20 weeks). Mean loss of extension (flexion deformity) was 28 0 (5o to 60o ). Mean range of movement achieved was 106 0 . Complications were few, except restriction of movement. Conclusion: Internal fixation is a good method of treatment for this type of fracture to get restoration of the articular surface anatomy, stable fixation and early mobilization.


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