Title: Management of Type-A Extra-articular Supracondylar Fracture Humerus using various Treatment Modalities
Authors: Amandeep Singh Bakshi, Ashish Garg, Bhupinder Singh Brar, Daljinder Singh, Satbir Singh
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.19
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.1The 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:-
- To achieve stable internal fixation.
- To study the functional outcome of the patient by assessing union rate, range of movement.
- 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.
Keywords: Type-A Extraarticular Supracondylar Fracture Humerus, various treatment modalities, Bicolumn Fixation, Mayo Elbow Score.
