COMPARITIVE STUDY OF INTERNALY FIXED DISTAL HUMERUS BICOLUMNAR FRACTURES TREATED WITH OR WITHOUT OLECRANON OSTEOTOMY

Abstract

INTRODUCTIONDistal humerus bicondylar fractures are complex intra-articular injuries that require precise anatomical reduction and stable fixation to restore elbow function. Internal fixation is the standard approach, but surgical exposure remains a critical factor influencing outcomes. Olecranon osteotomy is a commonly used technique to enhance visualization of the articular surface; however, it is associated with potential complications such as non-union, hardware irritation, and secondary procedures for implant removal.The choice of surgical approach plays a crucial role in fracture management, influencing operative time, complications rate, and functional recovery. While olecranon osteotomy provides excellent joint exposure, alternative approaches have been developed to minimize additional bone injury and soft tissue trauma. This study aims to compare the outcomes of bicondylar distal humerus fractures treated with and without olecranon osteotomy, assessing factors such as healing time, range of motion, and postoperative complications to determine the most effective and least invasive surgical technique. AIM OF THE WORKThe aim of this study was to compare the results of distal humeral bicolumnar fractures in adults internally fixed by double plate approached with or without olecranon osteotomy.