Comparison of intraarticular distal humerus fracture outcomes treated with or without olecranon osteotomy - A case series

J Pak Med Assoc. 2020 Feb;70(Suppl 1)(2):S102-S105.

Abstract

A case series was extracted from the trauma registry at Aga Khan University Hospital from the period June 2015 to June 2019. Included were 16 adult patients who presented with intra-articular distal humerus fracture type C2. The functional, clinical and radiological outcomes of fractures treated with or without olecranon osteotomy up to 12 months follow-up were compared. Outcomes were assessed at 6 weeks, 3, 6 and 12 months re-visits. Among the 16 studied patients, 9 (56%) were males and 7 (44%) were females. In the group without osteotomy, there was a good functional and clinical outcome with a mean Quick Disability of the Arm, Shoulder and Hand score of 32±30 at 3 months post-procedure. Bone healing was noticed at 6 months after surgery. In the osteotomy group, 50%-70% bone union was seen at 3 months post-surgery while fair functional and clinical outcome was achieved at 6 months after surgery.

Keywords: Intraarticular fractures, Distal humerus, Trauma, Outcomes, Range of motion..

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Aged
  • Elbow Joint / surgery*
  • Female
  • Fracture Fixation, Internal / methods*
  • Fracture Healing
  • Humans
  • Humeral Fractures / surgery*
  • Intra-Articular Fractures / surgery*
  • Male
  • Middle Aged
  • Olecranon Process / surgery*
  • Open Fracture Reduction / methods*
  • Osteotomy / methods*
  • Range of Motion, Articular
  • Retrospective Studies
  • Treatment Outcome
  • Young Adult