Journal of AdvancedMedical and Dental Sciences Research

Background: The distal humerus is unique among all the bones of the body by having the most complicated articular surface, which is part of a condyle that is rotated in three planes in relation to the diaphysis. The present study was conducted to assess the outcome of technique of condylar orientation pre-contoured plating in distal humerus fractures. Materials & Methods: 90 patients of distal humerus fractures of both genders were classified based on association for osteosynthesis (AO) type C3, C2 and C1. Surgical procedure was carried out with pre-contoured Sherman plates. Patients were assessed clinically (using mayo elbow performance score [MEPS]) and radio-graphically. Results: Out of 90 patients, there were 50 males and 40 females. Left side was involved in 35 and right in 55. Mode of trauma was RTA in 42, fall from height in 30 and violence in 18. Associated injury was ulnar nerve injury in 25 and side sweep injury in 14. Type was C3 in 54, C2 in 26 and C1 in 10 cases. The mean MEPS was 94.2, average extension was 16 degree and average flexion was 132 degree. Outcome found to be excellent in 56, good in 28, fair in 5 and poor in 1 patient. The difference was significant (P<0.05). Conclusion: Condylar orientation plating technique achieves a greater range of elbow motion and treatment outcome.