Evaluation and Outcome of Surgical Management of Supracondylar Fracture Humerus with Intercondylar Extension in Adults
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2014, Vol 2, Issue 6
Abstract
Supracondylar humerus fractures with intercondylar extension in adults are uncommon injuries and present the most difficult challenge of the fracture of lower end of humerus. Restoration of the articular surface of distal humerus must be nearly perfect and sufficiently rigid to permit early mobilization of the elbow if the result is to be satisfactory. Acceptable results have been reported in majority of patients treated by open reduction and internal fixation. The aim of this study is to assess the functional outcome of surgical management of Supracondylar humerus fractures with Intercondylar extension in adults by various surgical methods and to study advantages and complications of various surgical procedures for the same. This is a prospective study of 20 cases of supracondylar humerus fractures with intercondylar extension in adults admitted to Narayana Medical College and Hospital, Nellore between November 2012 to October 2014. All the cases were evaluated with pre-operative x-rays of concerned elbow joints both in antero-posterior and lateral views and their post-operative outcome after ORIF with plate. The outcome was evaluated in terms of pain relief, range of movement of elbow joint, rate of union, intra operative and postoperative complications. Cases were taken according to inclusion and exclusion criteria. In this study of 20 cases, there were 11 males and 9 females with average age of 43.4 years and an average follow up of 11 months. 10 cases each were due to direct fall and road traffic accident, with predominance of left side (11). Out of 20 cases 5 (25%) were of RR type II, 12(60%) were of RR III and 3 (15%) were of RR IV. Good results seen in 8 cases, fair results in 9 cases and poor results in 3 cases. There were 2(10%) cases each of superficial infection, implant failure, ulnar neuropathy and one (5%) case of non- union and they were treated accordingly. Operative treatment with rigid anatomical internal fixation should be the line of treatment for all grades of Riseborough and Radinintercondylar fracture as it gives best chance to achieve good elbow function. During open reduction internal fixation, anatomic nature of articular surface should be given prime importance. Stable fixation allows early active and aggressive postoperative mobilization. Keywords: Supracondylar fracture, Intercondylar Fracture, ORIF, Humerus, Riseborough, Radin
Authors and Affiliations
Krishnamurthy M. O, Sreenivasulu P. S. B, RajKumar K, Mahaboob V. S
Keywords
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