title: Functional outcome following olecranon osteotomy approach for fixation of T/Y fractures of distal humerus.
abstract: OBJECTIVE
  To evaluate the functional outcome of fixation of T/Y fracture distal humerus through olecranon osteotomy.
  
  
  METHODS
  Quasi experimental study.
  
  
  METHODS
  Department of Orthopedics, Jinnah Postgraduate Medical Centre, Karachi from June 2011 to December 2011.
  
  
  METHODS
  Patients of either sex presenting with T/Y(configuration) fracture Humerus of Risenborough-Radin type II-IV and less than three weeks duration were included. Diagnosis was made by X-rays and underwent fixation by posterior approach through olecranon osteotomy. Functional outcome was measured by using Risenborough-Radin criteria of range of motion as good, fair and poor. The data was analyzed using SPSS version 13.
  
  
  RESULTS
  71 patients aged between 20-50 years were enrolled. Mean duration of trauma was 12.2±4.4 days. Majority 55 (77.5%) had type III fracture. Patients less than 40 years had good outcome in 52.8% cases and fair outcome in 41.7% cases better than patients more than 40 years age. In females, outcome was 68.8% which was better than males. Trauma of less than 12 days of duration had good outcome in 60.5% of cases. Type II fracture had better outcome than other types. Overall, 39 patients (54.9%) had good outcome, fair outcome in (33.80%) 24 patients and poor outcome in (11.27%) 8 patients.
  
  
  CONCLUSIONS
  Posterior approach using Transolecranon osteotomy is a satisfactory procedure for fixation of T/Y fracture of distal humerus, because it achieves good functional outcome post operatively in terms of range of motion of elbow compared to other procedures.
authors.affiliation: Department of Orthopedic and Trauma Surgery, Jinnah Post Graduate Medical Centre, Karachi.
authors.forename: Kashifs Mahmood
authors.initials: KM
authors.lastname: Khan
authors.affiliation: Department of Orthopedic and Trauma Surgery, Jinnah Post Graduate Medical Centre, Karachi.
authors.forename: Sureshs
authors.initials: S
authors.lastname: Kumar
authors.affiliation: Department of Orthopedic and Trauma Surgery, Jinnah Post Graduate Medical Centre, Karachi.
authors.forename: Muhammad Saeed
authors.initials: MS
authors.lastname: Minhas
authors.affiliation: Department of Orthopedic and Trauma Surgery, Jinnah Post Graduate Medical Centre, Karachi.
authors.forename: Anisuddin
authors.initials: A
authors.lastname: Bhatti
keywords: T/Y fracture, humerus, olecranon osteotomy, range of motion.