Functional Outcome of Bicolumnar Plating in Fracture of the Distal Humerus in Elderly Adult: A Case Report

Fractures of the distal humerus are common in children compared to its incidence in adult. When they do occur, they are mostly caused by high energy trauma, side wipe injury and fall on outstretched hand in an osteoporotic bone.1 Most fractures are intraarticular type and grossly comminuted. It has been postulated that during the axial load of a direct fall on the flexed elbow, the semilunar notch of the olecranon acts as a wedge that splits the trochlea and the fracture line goes through the central groove of the trochlea and propagates proximally to the supracondylar fracture line separating the medial and lateral condyle.1�4 The Functional outcome after open reduction and internal fixation of this fracture has been presented here.