Results of Treatment of Fractures of the Distal End of the Humerus

This article presents the results of treatment of 62 patients with intraarticular fractures of the distal end of the humerus. The patients were divided into the following groups: The 1st group consisted of patients with Ilizarov apparatus compression-distraction osteosynthesis; the 2nd group consisted of patients with spokes osteosynthesis; the 3rd group consisted of patients in whom the muscular pedicle of each fragment had to be dissected, the epiphysis fracture "collected", and then the epiphysis was matched to the proximal fracture for accurate matching of the epiphysis bony fragments and then to the proximal fracture. Such an approach was usually used for C2, C3 comminuted fractures of the humerus. Using the Broberg-Morrey functional index and the Casselbaum treatment outcome assessment system modified by Jupiter J.B. et al. (1985), we evaluated the treatment outcomes in all patient groups in combination. This approach to estimating treatment outcomes was more revealing. Accordingly, we evaluated excellent treatment results in 32 (51.6%) patients, good results in 24 (38.7%) patients and satisfactory results in 6 (9.7%).