Management of Type-A Extra-articular Supracondylar Fracture Humerus using various Treatment Modalities
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 11
Abstract
Introduction: Supracondylar Fractures of humerus in adults have traditionally presented a treatment challenge for the orthopedic surgeons. The combination of anatomic complexity, multifragmentary comminution, and a short distal segment, often in the setting of osteoporotic bone, renders these fractures difficult to treat successfully and often make a full restoration of function uncertain.1 The objective of the current study was to evaluate and compare various treatment modalities used in the management of Type-A Extraarticular Supracondylar Fracture of Humerus. Material and Methods: This randomized, interventional study was conducted on 30 patients of Type-A Extraarticular Supracondylar Fracture of Humerus using various treatment modalities with following aims and objectives:- 1. To achieve stable internal fixation. 2. To study the functional outcome of the patient by assessing union rate, range of movement. 3. To assess specific and general complications encountered with the procedure, if any. Results: Patients were followed up at regular intervals (3 weeks, 6 weeks, 12 weeks and 6 months) for any complications, requirement of analgesics and physiotherapy. Fracture union was assessed clinically and radiologically. Elbow function on the operated side was evaluated and compared with the normal side as per Mayo elbow score.2 Results were analysed statistically using chi-square test and ANOVA test. Conclusion: The best treatment modality in our study was Bicolumn fixation with dual plating in adults as it provides more rigid fixation than a single LCP. Fracture types in which anatomy can be restored properly, precontured plates were used and Fractures in which anatomical reduction was not possible, Reconstruction plates were used for bicolumn fixation. Attaining correct alignment, rotation, and length without disrupting the soft tissue attachments to the communited fragments often leads to successful healing.
Authors and Affiliations
Satbir Singh
Keywords
Related Articles
- EP ID EP521913
- DOI -
- Views 87
- Downloads 0
Distribution of Super Antigensgene of Staphylococcus aureus in Allergic Rhinitis Patients
Summary Staphylococcus aureus is a representative constituted pathogen related with the major community and hospital acquired sickness and has been taken into consideration for a long time as a major problem of Public He...
Probiotics and antisecretory agents though costly are effective alone in mild to moderate non bacterial acute gastroenteritis
Objectives: To evaluate the utilization of Probiotics and Racecadotril for the patients of acute gastroenteritis (AGE) and subsequently their health outcome at an Infectious Disease Hospital and to observe the relationsh...
Insulinemic Status and Nonalcoholic Fatty Liver Disease in Type 2 Diabetes Mellitus
Introduction: In this article, non -alcoholic fatty liver disease (NAFLD) is discussed in detail. The epidemiology of NAFLD nonalcoholic steatohepatitis and the relationship of NAPLD with type 2 diabetes mellitus insulin...
Therapy concept for Surgical Uprighting of the Impacted Second Mandibular Molar
Impaction of permanent teeth is a relatively common occurrence and can involve any tooth in the dental arch. Impacted mandibular second molars are less frequently encountered, but when they occur they may present a chall...
Assessment of enzymatic markers in patients of chronic alcoholic liver disease attending OPD of a tertiary health care level Institute of North India
Background: Alcoholic Liver disease (ALD),is a term that encompasses the hepatic manifestations of alcohol over consumption that includes- fatty liver, alcoholic hepatitis and chronic hepatitis with cirrhosis. Although O...