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Background: We study result of 96 cases of distal humerus osteosynthesis which is done with extensor mechanism intact. Traditionally these fractures have been managed operatively with various extensor mechanism disrupting approaches. Material and methods: Ninety six patients with distal humerus fracture were treated with open reduction and internal fixation with minimal soft tissue and extensor mechanism disruption. This study was conducted in Jamdar hospital at Jabalpur between 1st Jan 2015 to Sep 2016. The technique used here is visualizing distal humerus through lateral and medial window that avoids disruption of the triceps muscle insertion on olecranon. Results: All patients are followed for 6 months. In our series all fracture shows union at 6 weeks and all fractures unite in 8 weeks. Range of motion (median) is 126O. Range (60-1400). Conclusion: Better clinical and functional outcome can be achieved with this technique. Early range of motion and subsequently strengethening exercises can be initiated.

Prospective study of distal humerus fracture fixation with an extensor mechanism on approach