Reconstruction of medial epicondyle with an ILIAC crest strut bone graft in a 74-year-old lady with an open type c fracture of distal humerus

Open intraarticular fractures of the distal humerus are frequently associated with severe bone and articular cartilage fragmentation, extensive soft tissue damage and bone loss. Management is controversial, and results are poor especially in old osteoporotic patients. We here present a case of open fracture of distal humerus with extensive bone loss of medial column. The patient was operated with internal fixation and reconstruction of the medial column with strut iliac crest grafting and had an excellent outcome.