Abstract
Objective: To assess the functional outcome of
humerus intercondylar fracture using Mayo elbow
performance score.
Methodology: This study was conducted at
Departments of Orthopaedics and Trauma, Khyber
Teaching Hospital and Hayatabad Medical Complex,
Peshawar, from January 2015 to December 2019.
Patients who had distal humerus fracture of AO classes
13C1, 13C2 and 13C3 were included in the study.
Patients with polytrauma, the extremes of age (< 18
years > 65 years) and those with pre-existing
pathologies were excluded from the study.
Intraoperative, 4.5mm partially threaded cancellous
screws were used to establish articular congruity.
Reconstruction or distal humerus locking plates were
applied in 90 – 90 fashion on both columns and
tension band wiring for olecranon osteotomy.
Functional outcome was assessed at six months using
Mayo elbow performance score.
Results: Out of 43 patients, 19 were male and 24
females. Thirteen patients had 13C1 distal humerus
fractures, 19 had 13C2 while 11 had 13C3 fractures.
Mean Mayo score was 73.5 16.5. Three patients
scored excellent, 9 scored good, 4 had fair and 3 poor
results. We noted that 32% patients had no pain at 6
months, 42% had mild pain and 21% had moderate
pain. Stability and function results were also
satisfactory.
Conclusion: Based on this study, early open
reduction and rigid internal fixation with plates in 90-
90 fashion followed by early post-operative
mobilization showed a good outcome in distal humeral
intercondylar fractures.
Keywords: Distal humerus, dual plating, trauma.
