Abstract
Transcondylar fractures of the humerus (distal humerus A2.3 type according to ASIF classification) in the elderly require surgical treatment because they are intra-capsular fractures and the distal fragments are under rotational stress. However, osteoporosis makes rigid internal fixation difficuit. Therefore, functional results have been reported to be rather poor still after surgical treatment.
During the last 3 years, we have treated 6 cases A2.3 type fractures. ASIF small cancellous screws were used to achieve compression of the fracture line by vertically transfixing that line. The results were divided into 4 good and 2 fair according to the classification by Jupiter et al. Using this procedure, rigid fixation and early exercise can be done.
