Keywords : JESS(joshi external stabilization system)
A PROSPECTIVE STUDY OF JOSHI EXTERNAL STABILIZATION SYSTEM(JESS) IN MANAGEMENT OF INTERCONDYLAR HUMERUS FRACTURES IN A TERTIARY CARE CENTER.
European Journal of Molecular & Clinical Medicine,
2023, Volume 10, Issue 5, Pages 1-8
Intercondylar fracture of distal humerus is one of the difficult fracture involving the humerus in adults.
Intercondylar fracture distal humerus in adults are difficult to manage due to complex anatomy of
elbow. We present a method of surgical treatment of intercondylar humerus fracture in adults by
open reduction with JESS fixator and to evaluate functional outcome and associated complication with
application of JESS fixator. MATERIALS & METHODS: It is Institutional based, prospective study carried
out from June 2021 to May 2022.Twenty cases of intercondylar distal humerus fracture were reduced
and fixed with K-wire and finally JESS was applied. Patient were follow up at 1week, 4weeks, 6weeks
& 12weeks and clinically evaluated with Mayo’s elbow performance score. RESULTS:According to AO
classification 4 cases had C1 fractures, 14 cases had C2 fractures and and 2 cases had C3 fractures. 3
cases had open injury among which two were of C2 and 1 were C3 type. All cases were operated using
paratricipital approach and average duration of JESS application was 7 week and mean follow up
duration was 9 months. Irrespective of injury pattern 9(45%) cases showed excellent results, 7(35%)
showed good results, 3(15%) cases showed fair results and 1(5%) case showed poor
results.DISCUSSION: The goal of intercondylar fracture management by JESS technique is to achieve
early range of motion of anatomically align joint. CONCLUSION:This study shows comparatively good
results using JESS fixator. This procedure is viable alternative option to ORIF dur to its simplicit, costeffectiveness
and easy implant removal on day care basis.