Evaluation of Operative Management of Intra-Articular Fractures of the Distal End of the Humerus

Abstract

Intra-articular fractures of the distal humerus are challenging injuries that often require operative intervention to restore joint function and stability. This study evaluates the clinical, radiological, and functional outcomes of surgical management of these fractures using open reduction and internal fixation (ORIF). A total of 50 patients with intra-articular distal humeral fractures were treated and followed up for 12 months. Outcomes were assessed using the Mayo Elbow Performance Score (MEPS) and fracture union rates. Results showed a mean MEPS of 85, with excellent-to-good outcomes in 80% of patients. Complications included stiffness (10%) and ulnar nerve neuropathy (8%). The study highlights the importance of anatomical reduction, stable fixation, and early rehabilitation in achieving favorable outcomes.

Keywords: Intra-articular fractures, Distal humerus, Open reduction, Internal fixation, Functional outcomes