~ 725 ~ International Journal of Orthopaedics Sciences 2018; 4(2): 725-728 ISSN: 2395-1958 IJOS 2018; 4(2): 725-728 © 2018 IJOS www.orthopaper.com Received: 13-02-2018 Accepted: 14-03-2018 Dr. Surendra Singh Yadav Associate Professor, Dept. of Orthopedics GR Medical College, Gwalior, Madhya Pradesh, India Dr. Sonendra Kumar Sharma Senior Resident Dept. of Orthopedics GR Medical College, Gwalior, Madhya Pradesh, India Dr. Sameer Gupta Prof and Head Deputy of Orthopedics GR Medical College, Gwalior Madhya Pradesh, India Dr. Prashant Patel Post Graduate Student Dept. of Orthopedics GR Medical College, Gwalior, Madhya Pradesh, India Correspondence DR. Sonendra Kumar Sharma Senior Resident Dept. of Orthopedics GR Medical College, Gwalior, Madhya Pradesh, India Outcome of dual column fixation for intra articular distal humerus fracture Dr. Surendra Singh Yadav, Dr. Sonendra Kumar Sharma, Dr. Sameer Gupta and Dr. Prashant Patel DOI: https://doi.org/10.22271/ortho.2018.v4.i2k.103 Abstract Introduction: In young adults, most distal humerus fracture occurs from high energy trauma, sideswipe injuries, road traffic accidents, fall from height, and gunshot wounds. and also it follows a bimodal age distribution (1). Most distal humerus fractures are intra-articular and involve both the medial and lateral columns Aim: To evaluate functional and radiological outcome of patients treated with bicolumn fixation with LCP in intra-articular distal humerus fractures. Materials and Methods: Our study is a prospective study in which we selected 20 cased remdomly with distal humerus fracture with intraarticular extension and treated with open reduction and internal fixation with dual plating. Results: Union was achieved in all cases with in study period. There was no case of non-union, elbow stiffness occurred in one patient. Conclusions: Proper functioning of elbow joint depends on anatomical reduction and good fixation of intraarticular fracture with dual LCP and early mobilization so that mobilization of elbow should be started as early as possible after fracture fixation. Keywords: Distal humerus, dual plating, bicolumnar fixation, inter condylar fracture, early mobilisation Introduction In young adults, most distal humerus fracture occurs from high energy trauma, sideswipe injuries, road traffic accidents, fall from height, and gunshot wounds. and also it follows a bimodal age distribution [1] . Most distal humerus fractures are intra-articular and involve both the medial and lateral columns. Management of inta-articular distal humerus fracture is very challenging due to involvement of multiple factors as fractures patterns, quality of the bone, location of the implant, and the bio- mechanical properties of the implants [2] . Our main aim in management of such type of fractures is to achieve a stable, accurate articular and bony reconstruction that allows early range of motion for rehabilitation and eventually a successful functional outcome. There are various classification system described for intra-articular fracture of distal humerus Riseborough and Radin1 described 4 types of intercondylar “T-type” distal humerus fractures: Type 1 a non-displaced fracture, Type 2 displaced but without rotation of the fragments, Type 3 includes fragment rotation, and Type 4 involved severe comminution. The Orthopaedic Trauma Association’s (OTA) alpha-numeric system, assigned three main types: Type A (extra-articular), Type B (partial articular), and Type C (complete articular) but The OTA system’s clinical application is limited and is hindered by poor inter-observer reliability beyond identification of the basic three types. The main treatement of intraarticular diatal humerus fracture is open reduction and fixation with locking plates, non-operative treatment of distal humerus fractures is limited and primarily involves patients with very low demand or in poor health. In surgical management of such type of fracture there are several variables which plays important role in succesfull management of these fractures- restoration of articular congruity,