Management of Distal Humerus Fractures With Jess Fixator

Authors

  • Prakriti Raj Kandel Department of Orthopaedics and Trauma Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa
  • Kishor Man Shrestha Department of Orthopaedics and Trauma Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa
  • Laxmi Pathak Department of Anaesthesiology, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

DOI:

https://doi.org/10.3126/jucms.v3i4.24259

Keywords:

JESS, Intercondylar fracture, External fixation

Abstract

INTRODUCTION: Fractures of distal humerus are rare comprising approximately 2% of all fractures and a third of all humerus fractures. Even with the development of newer fixation techniques, the treatment of distal humerus fractures remains a great challenge to any orthopaedic surgeon. Thus this present study was conducted to evaluate the results of Joshi's External Stabilization System (JESS) in the management of distal humerus fracture with or without intercondylar extension.

MATERIALS AND METHODS: This retrospective study was conducted by collecting records of thirty two adult patients who sustained distal humerus fracture and were managed with JESS fixation under anaesthesia over a period of two years in Universal College of Medical Sciences Teaching Hospital (UCMSTH) after obtaining permission from Institutional ethical committee.

RESULTS: According to AO (Arbeitsgemeinschaft für Osteosynthesefragen) classification, 2 patients had C1 fracture and 30 patients had C2 fractures. The mean duration of JESS application was 16 weeks. The mean follow up was 8 months. The functional outcome was evaluated by using Cassebaum's functional rating system. Among C1 fractures, 50% showed fair and 50% showed good result whereas among C2 fractures, 40% showed good, 46.66% showed fair and 13.33% showed poor results. 

CONCLUSIONS: JESS fixation technique represents a viable option in the management of open as well as close intercondylar fractures of the distal humerus.

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Author Biographies

Prakriti Raj Kandel, Department of Orthopaedics and Trauma Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

Assistant Professor

Kishor Man Shrestha, Department of Orthopaedics and Trauma Surgery, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

Assistant Professor

Laxmi Pathak, Department of Anaesthesiology, Universal College of Medical Sciences & Teaching Hospital, Bhairahawa

Associate Professor

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Published

2015-12-28

How to Cite

Kandel, P. R., Shrestha, K. M., & Pathak, L. (2015). Management of Distal Humerus Fractures With Jess Fixator. Journal of Universal College of Medical Sciences, 3(4), 16–20. https://doi.org/10.3126/jucms.v3i4.24259

Issue

Vol. 3 No. 4 (2015)

Section

Original Articles

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