Olecranon Osteotomy Approach for Open Reduction Internal Fixation Analysis of 24 Cases of Fracture Distal Humerus

ABSTRACT

Background: This study was done for the analysis of the functional outcomes of distal humerus fractures managed by open reduction internal fixation by reviewing 24 cases of fractures of distal humerus which were surgically managed by olecranon osteotomy approach during December 2012 to September 2016. Methods: 16 male patients and 8 female patients with a mean age of 38.12±15.06 years were included in this study. A mean follow up time of 10.2months (range 3-18 months) was done. Flexion, extension, range of motion,mayo elbow performance score (MEPS),disability of shoulder arm and hand score (DASH SCORE), duration of surgery and blood loss were used to assess the functional outcome of fractures of distal humerus managed by open reduction internal fixation using the olecranon osteotomy approach. Results: According to AO foundation (AO) Classification there were no cases of type A or type B , 5 cases of type C1 , 6 cases of type C2 and 13 cases of type C3 fractures.Out of 24 patients9(37.5%), 9(37.5%), 6(25%) obtained Excellent , Good , Fair MEP score respectively. Conclusion:No patient fell under poor category of MEP score.