3. A Study of T & Y Supracondylar Fractures of Humerus

Dr. E.Srinivas Radhe Shyam, Dr. Mirza Atif Baig, Dr. P.N. Prasad

IRPMS, 2015; 1(2): 9-12.

ABSTRACT

Background: Distal humerus fractures in adults are uncommon injuries and difficult to manage. Open reduction has better results than a closed method to treat the supracondylar humerus fracture. The aim of this study to evaluate the role of internal fixation in the treatment of intercondylar fractures of the humerus. Material & Methods: In a study of 30 cases of intercondylar fractures of humerus, male (12) and female (18) patients of different age group treated with open reduction and internal fixation with 4mm cancellous screw and stable fixation achieved by using two plates or multiple cancellous, cortical screws or K wires. Postoperative mobilization was started depending on fracture stability and pain in patients. Results: Most of the patients (86.7%) were between the age group of 21-50 years. Type of injury in 16(53.3%) cases was fall on point of elbow, 9(30%) cases were RTA and other due to road accidents. 14 cases (46.6%) belong to Muller's et al classification C2 and next were 10 cases (33.3%) C3. Hardware pain in 3(10%) patients were the complications of this study. 22 (73.3%) patients had range of motion (ROM) between 120-130 degrees. According to Cassebaum's scale 22 patients (73.3%) had 'Excellent' to 'Good' results, 8 patients (26.7%) had 'Fair' results and none of the patients had 'Poor'. Conclusion: Although it was a small prospective study with short follow-up, but compare our findings with the results of other authors, we concluded that operative treatment of the intercondylar fracture of the distal part of humerus in adults has much better results than closed treatment.

Key words: Supracondylar humerus fracture, operative reduction, internal fixation, transolecranon approach.

 

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