. EARLY OPEN REDUCTION AND INTERNAL FIXATION OF INTERCONDYLER FRACTURE HUMERUS lN ADULT

Abstract

Intercondylar& fracture humerus in adults is rare and notoriously .

difficult to treat.

It is also associated with less than satisfactory

functional results inspite of progress made in orthopaedic techniques 2 (t, >. Many methods of treatment were used, including traction, closed

. reduction, open reduction and internal fixation(ORIF) and arthroplast/3 4>.

Since the method of treatment vanes from essentially no treatment to ORIF < ' ' >, the ORIF remain the main method of

maintaining articular functions .

In some cases particularly with intra-articular comminution, anatomical restoration of -the articular surface could not be achieved or . maintained through manipulative reduction alone hazards of open reduction have argued that additional surgical trauma and the inherent difficulty in securely stabilizing the small intraarticular fragment will lead to added fibrosis and less satisfactory results (7).

Early ORIF by plates and screws with early motion decreases the joint stiffness and helps in restoration of joint functions< 5>.