Transosseous fixation of intercondylar fracture of lower end humerus by tension band wiring techniqu
Journal Title: International Journal of Medical Science and Public Health - Year 2014, Vol 3, Issue 3
Abstract
Background: Intercondylar fractures of lower end of humerus is a challenge for orthopedic surgeon to fix rigidly for early mobilization. We hereby have devised a novel technique of fixing an intercondylar fracture of lower end of humerus by transosseous route utilizing the Tension band wiring. We successfully obtained a rigid, stable reconstruct without affecting the anatomy of the region. Aims & Objective: To study the effect of transosseous fixation of intercondylar fracture of lower end humerus by tension band wiring technique. Materials and Methods: We have followed a novel technique for treating intercondylar fracture of lower end of humerus. Till date we have treated 10 patients of supracondylar fracture of humerus with intercondylar extension. All patients were selected randomly the only criteria was a supracondylar fracture of lower end of humerus with intercondylar extension. This method gave us four cortices fixation in the lower intercondylar region which was not possible till date by other methods of fixation. So now T-Y elbow type of fracture is converted into a supracondylar fracture. Rest fixation of supracondylar fracture was done with perpendicular plating and k wire TBW in case of osteoporotic bones. Results: Out of 10 treated cases with this method all get rigid fixation and radiological union at average of 8 weeks. Average ROM was 5- 100. One case had postoperative stitch infection, one had k wire impinging on skin and two patients lost follow up after 3 months. Conclusion: Complicated fractures of intercondylar region of distal humerus can be successfully managed by interosseous TBW technique. We recommend such technique and further research regarding it
Authors and Affiliations
Rakesh Dubey, Vaibhav Sadigale, Jainilkumar Parmar
Keywords
Related Articles
- EP ID EP132770
- DOI 10.5455/ijmsph.2013.221220131
- Views 94
- Downloads 0
Correlation of ocular manifestations with the duration and activity of disease in patients with rheumatoid arthritis
Background: Rheumatoid arthritis (RA) is a chronic inflammatory arthritis which can affect extra-articular tissues including eyes. Objective: This study was aimed to evaluate the ocular manifestations, their correlation...
Early presentation of renal amyloidosis in a patient with pulmonary tuberculosis
Amyloidosis is a potentially life-threatening disorder caused by deposition of insoluble fibrillar proteins in various tissues, which commonly results in organ dysfunction or failure. Amyloidosis, either primary or sec...
Prevalence of methicillin-resistant Staphylococcus aureus in various clinical samples in a tertiary-care hospital
Introduction: Staphylococci are the normal inhabitants of human skin and mucous membranes. Staphylococci play a role in bacteremia, endocarditis, urinary tract infection, surgical site infections, and so on. Me...
Knowledge, attitude, and practices of food safety among women of Khaza bazar, the urban field practice area of KBN Institute of Medical Sciences, Kalaburagi, Karnataka
Background: Food hygiene encompasses all conditions and measures necessary to ensure safety and suitability of food at all stages of the chain of food production as food has direct influence on health. Food handlers...
Importance of high triglycerides as a cardiovascular risk factor in Indian diabetic population – A review
Type 2 diabetes mellitus (T2DM) is a complex metabolic disorder characterized by a state of chronic hyperglycaemia which may lead to various disabling and life-threatening macrovascular and microvascular complicat...