Extensor mechanism sparing approach to the elbow for reduction and internal fixation of intercondylar fracture of the humerus.

OBJECTIVE To evaluate the short term results of extensor mechanism sparing approach to the elbow for fixation of intercondylar fractures of the distal end of humerus and compare it with existing Surgical approaches. DESIGN This is a prospective study conducted from June, 1992 to June, 1997. SETTING Department of Orthopaedic Surgery, Jinnah Postgraduate Medical Centre and Mehran Clinic (Pvt.), Karachi. PRINCIPLE OF SURGICAL APPROACH: This approach is based upon the principle that by sparing the extensor mechanism, we reduce the amount of surgical trauma and help in early rehabilitation which can contribute in improving the results of this difficult fracture. RESULTS There were nine type 2 fractures, eight type 3 fractures and four type 4 fractures according to Rise borough and Radin classification. Based upon the same authors criteria, there were over all 57.14% good 23.81% fair and 19.04% poor results. Adequate exposure was achieved in all of type 2 and seven (87.5%) out of eight type 3 fractures. We failed in type 4 fractures. Mean operating time was 107.38 (+/- 24.67) minutes. CONCLUSION The results in this series are comparable to other studies. They can however be improved with proper selection of cases, experience with the technique along with better fixation and rehabilitations.