Condylar fractures of the distal humerus in adults.

Condylar fractures of the distal humerus are serious and in many instances pose a difficult treatment problem for the orthopedist. From 1969 to 1974, 24 condylar fractures of the distal humerus were treated at the University of Alabama Hospitals. Twenty of the fractures were closed and four were open. Eighteen fractures were treated open and fixed with a variety of K-wires and screws, and six fractures were treated closed. One postoperative wound infection occurred. Based on the 18 cases in which follow-up was sufficient to assess end result, we concluded that in comminuted fractures of the distal end of the humerus in adults, it may be technically very difficult to restore anatomic continuity. When secure fixation cannot be obtained or when the injury is of such a nature that internal fixation is contraindicated, such as a gunshot wound, traction may provide a functional range of motion. In fractures where good continuity and firm fixation can be obtained, open reduction and internal fixation give a superior functional range of motion.