# Management of Grade Three Open Distal Humerus Intra-articular Fracture Using the BB Joshi External Fixator: A Case Study and Review of Outcomes

## TL;DR

A case study shows the BB Joshi external fixator effectively treats severe elbow fractures, reducing complications and improving recovery.

## Contribution

The study demonstrates the effectiveness of the BB Joshi external fixator in managing grade three open distal humerus fractures.

## Key findings

- The BB Joshi external fixator provided stable fixation and early mobilization for a grade three open fracture.
- The treatment resulted in lower infection rates and comparable union rates compared to traditional ORIF.
- The patient regained near-normal elbow movement and adequate skin coverage.

## Abstract

Distal humeral intra-articular fractures often result in functional impairment if treated conservatively. These fractures are particularly challenging due to osteoporosis and severe comminution. A 32-year-old female with a grade three open distal humerus intra-articular fracture presented with a 5 cm x 5 cm open wound on her right elbow. The patient underwent open reduction and internal fixation (ORIF) using the BB Joshi external fixator and a local flap for skin coverage, achieving stable fixation and early mobilization. The patient regained a near-normal range of movements and adequate skin coverage of the wound at follow-up. Compared to traditional ORIF, it showed lower infection rates and comparable union rates, leading to better functional outcomes when compared with the studies reported earlier. The BB Joshi external fixator effectively treats grade three open distal humerus intra-articular fractures, minimizing complications and promoting functional recovery.