A 19-year-old female fell while bicycling at a high speed and sustained an open fracture (Grade IIIA) of the distal humerus and presented through the New York Presbyterian Emergency Department.
Radiographs revealed a left-sided complex bicondylar distal humerus fracture with segmental bone loss. Following multiple Irrigation and Debridement (I&D) procedures a spanning external fixator was placed for initial stabilization and a skin graft was also placed.
Operative reduction and internal fixation (ORIF) was performed at 2 weeks following her injury with placement of bone graft and multiple plates and screws. She returned for regular follow-up visits and had an excellent outcome.
At 25 months post-operative her radiographs reveal a healed distal humerus fracture and clinically she had no pain with range of motion of the left elbow from 0 to 110° with full supination and pronation.