A Study of Thirty Cases of Comparison of T-Y Fractures Humerus Fixation with and without Olecranon Osteotomy
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 2
Abstract
ABSTRACT Introduction: The various recommended treatments includes early mobilization disregarding the fracture reduction, closed manipulation and immobilization in plaster cast, traction or open reduction and internal fixation.The advent of the new implants and surgical techniques has increased the reliability of the surgical fixation. Aim of the presented study was to evaluate the advantages and disadvantages of either exposure and to have beneficial decision making for the patients functional elbow ROM which significantly depends upon the method of exposure with or without olecranon osteotomy. Material and methods: The present study was conducted on 30 patients who were having T-Y fractures and had an indication of fixation with or without olecranon osteotomy were selected for the study from the department of Orthopedic Surgery in Municipal General Hospital. Results: Range of motion for C1 type of fracture 100% Favourable, without olecranon osteotomy range of motion 100% Favourable, C2 with olecranon osteotomy range of motion 85% Favourable, without olecranon osteotomy range of motion 80% Favourable, C3 with olecranon osteotomy range of motion 15% Unfavourable, Without olecranon osteotomy range of motion 60% Unfavourable. Conclusion: Equally good result are seen in younger age and group C1 and C2 fracture for both approaches. In case of C1 and C2 type fracture one can go without olecranon osteotomy approach, olecranon oseotomy is not needed.
Authors and Affiliations
Vijay Sarukte, Kanchan Shingade, Ravi Bhanushali
Keywords
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