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Clement M.L. Werner, Leonhard E. Ramseier, Otmar Trentz, Michael Heinzelmann |
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Purpose: Retrospective case series carried out to identify factors influencing the outcome of ORIF of distal humeral fractures in adults and to compare different elbow scoring systems.
Patients and Methods: Twenty-eight consecutive distal humeral fractures sustained by 27 patients were treated by open reduction and internal fixation.
Results: Anatomical or near anatomical reduction was achieved in 25 cases. Fifty-six months (Range: 24–103) after surgery, 24 elbows were subjectively rated as good or excellent and 4 as fair or poor. The mean DASH Score was 24% and the mean Mayo Elbow Score 85%. The level of satisfaction significantly correlated with pain, stability, development of arthritis, heterotopic bone formation, range of motion, the condylar angle of alignment, as well as lack of further surgery.
Conclusion: ORIF of distal humeral fractures lead to acceptable results even in elderly patients and in the event of complications.
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