Operative treatment of intercondylar Y and T shaped fractures of the lower end of the humerus

ABSTRACT

Intercondylar Y and T shaped fractures of the lower end of the humerus are uncommon and difficult to treat. Surgical management is recommended to achieve a successful outcome. It is important to reconstruct accurately the capitellum and trochlea and to obtain rigid secure internal fixation so as to permit early controlled postoperative active range of motion. In this series, 23 patients with these fractures were treated by open reduction and internal fixation through a trans-olecranon approach. Approximately 70% good to excellent results were obtained