Intercondylar fractures of the distal humerus in adults

Intercondylar fractures of the distal humerus in adults are difficult fractures to treat because of their rarity and associated significant comminution. The results of managing these fractures non-operatively are limited by failure to get anatomical reduction and early mobilization, which often results in painful stiff elbow and/or pseudarthrosis. Hence an operative management with anatomical reduction of the fragments becomes the treatment of choice for these fractures. The experience of managing 20 such fractures by open reduction and internal fixation with early mobilization is presented. Nineteen of these fractures attained acceptable results, 15 of which were graded as excellent in the final outcome. This study attempts to rationalize the operative management of these fractures regarding choice of surgical approach, choice of implants and timing of mobilization of elbow.