Orthonotes
Orthonotes
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Intercondylar Distal Humerus Fractures

T- or Y-shaped intra-articular fractures of the distal humerus. Most common in young adults (high energy) and elderly osteoporotic (low energy). Require anatomic articular reduction, stable fixation, and early mobilization. Olecranon osteotomy gives best exposure to articular surface. Fixation principles: two-column plating—orthogonal (90°) or parallel (180°).