Thesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Orthopaedic Surgery

Background : Intercondylar humeral fracture is one of the commonest & challenging fractures of young adult and counts for about 30% of all elbow fractures. Aim: Evaluation of two groups of patients ,group A managed by by double plates and group B by Y plateStudy design : Prospective study Materials and Methods :This study was conducted on 44 patients ,Group A 22 pt Group B 22 pt . the study included patients aged between 16-59 years with intercondylar humeral fracture type C according to AO classification while patients with compound fractures, osteoporotic bone, pathological fractures and patients aging less than 16 years and more than 59 years were excluded. Follow up at 3and 6months Results : Range of movement after 3 & 6 months was 84±31 and 98±35 respectively in group A which was relatively high compared to 48±25 and 71±21 respectively in group B . MAYO Elbow Performance Score after 3 & 6 months was 71±21 and 82±23 respectively in group A which was relatively high compared to 48±14 and 73±12 respectively in group B. After 3 months of follow up, MEPS grade showed that the majority was good in group A representing 54.5% while poor in group B representing 76.2% Similarly, the grade after 6 months of follow up was excellent in group A representing 45.5% while good in group B representing 42.9%. CONCLUSION From a clinical and stastical perspective , there is no significant differences were observed between the group A and group B in terms of union time and complications ,however there is high statistical difference between group A& group B regarding range of motion and Mayo Elbow Performance Score

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