This 28 years young lady was involved in a Road Traffic Accident and had a shattered Distal Humerus with primary Radial Nerve Paralysis. She underwent surgery in our Hospital.

The problems to be tackled were,

• 1. To give a stable Elbow joint by Open Reduction Internal Fixation.
• 2. To manage the Radial nerve paralysis.
• 3. To give a good ROM ( Range of Movement )

All the above factors were considered. ORIF done through posterior approach. The Radial Nerve was found to be kinked and was released. The pre operative and post operative x-rays are shown above. will update further as the patient comes for follow up.

Literature:

Fractures around the elbow especially comminuted fractures of distal humerus are difficult to manage. The management concept involves , stable fixation with minimal soft tissue damage and early mobilization which principle has been followed in the above patient.