Treatment
Undisplaced
Long arm back slab for 3 weeks with elbow at 90 degrees or less.
Displaced
Closed reduction under G/A with traction & counter-traction followed by long arm full plaster for 4-6 weeks:
- With elbow at 90 degrees or less (extension variety)
- With elbow in slightly extended position and then flexion is attained gradually, i.e., 10 degrees a week (flexion variety)
Indications of ORIF
- Failed closed reduction
- Type III fracture (completely displaced extension variety)
- Open fracture
- Neurovascular damage