FUNCTIONAL OUTCOME OF SUPRACONDYLAR AND INTERCONDYLAR FRACTURES OF DISTAL HUMERUS FIXED WITH PRECONTOURED PLATES IN ADULTS.

H.S Mann; Girishsahni; Arvindkumar; Mahesh kumarsingh

Volume : V, Issue : X, October - 2016

FUNCTIONAL OUTCOME OF SUPRACONDYLAR AND INTERCONDYLAR FRACTURES OF DISTAL HUMERUS FIXED WITH PRECONTOURED PLATES IN ADULTS.

H. S Mann, Girishsahni, Arvindkumar, Mahesh Kumarsingh

Abstract :

Aim: Accurate reconstruction of articular surface of distal humerus by closed manipulation is not possible. The recent trend for displaced intra–articular fractures of the distal humerus is open reduction and stable osteosynthesis with early rehabilitation Purposes: To evaluate the management and outcome of supracondylar and inter condylar fracture of distal humors fixed with Precontoured in adults through posterior approach via olecranon osteotomy and to restore early elbow joint function. MATERIAL AND METHODS :30 cases of supracondylar and intercondylar fractures of distal humerus were treated by open reduction and internal fixation. All the patients were of adult age group. Chevron type olecranon osteotomy was performed and fixed with tension band wiring in majority and follow–up period was upto 24 Months. Regular clinical examination and periodical radiological evaluation were done. Results : All fractures united within average duration of 3 Months. Results were evaluated as per Mayo Elbow Performance Score. According to this criteria, excellent results was achieved in 9 patients (30%), good in 16 (53.33%), fair in 4 (13.33%) and poor in 1 (3.33%) patients. Thus satisfactory result was obtained in 96% cases. Conclusions :The critical factors for a successful outcome of Supracondylar and Intercondylar fracture of the distal humerus depends upon severity of fracture, meticulous surgical technique, stable internal fixation, and early controlled postoperative mobilization.