European Journal of Molecular & Clinical Medicine

Reduction and fixation of articular surfaces followed by attachment to humeral shaft. Reduction and
fixation of Medial and Lateral condyles to shaft, then reconstruction of articular surfaces. 8 patients
(25%) had excellent, 9 patients (30%) had good and 9 patients (30%) had fair outcome according to
MAYO performance score. Nonunion is not encountered superficial infection in 5% cases treated by
daily dressing and IV antibiotics. A high rate of union can be achieved in complex intra-articular
fractures of distal humerus if the proper principle of stable fracture fixation are followed i.e. a posterior
trans-olecranon approach and dual fixation of both columns and restoration of continuity of articular
surfaces.