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Outcome Of Intra Articular Fractures Of Distal Humerus: Does Olecranon Osteotomy Affect The Outcome.

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Author(s): Shafaat Rashid Tak*, Nabi Dar G*, Halwai M A** , Mir M R #, Kangoo K A**

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 5;
Issue: 4;
Date: 2008;
Original page

Keywords: Intraarticular fractures | distal humerus | outcome.

ABSTRACT
Introduction: intra articular fractures of distal humerus continue to be a treatment challenge. Advances in the surgical techniques and implants have led to progressive improvement in the outcome of these difficult fractures.Material and Method: 164 patients with intra articular fractures of distal humerus were treated in the Department of Orthopedics, Government Medical College Srinagar by open reduction and internal fixation, using trans olecranon. Patients were followed for a minimum period of six months, maximum follow up was 48 months. Results were assessed using scoring system of Caja C.L and Morrani A et. al. Result: 68 patients (42%) patients were graded as excellent (90 to 100 points), 74 patients (45%) as good (75 to 85 points), 17 (10%) as fair (50 to 65 points) and 5 patients (3%) as poor (less than 50 points). Level of activity was higher in higher range of motion subgroup. Severity of fracture affected the radiological, functional and total score. Patients with higher radiological scores had higher range of motion and higher activity level of activity.Conclusion: Thorough evaluation of fracture anatomy, meticulous surgical technique, stable fracture fixation and early range of motion are the corn stones to restore the pre fracture function of injured elbow.
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