A Prospective Study of Functional Outcome of Supracondylar and Intercondylar Fracture of Distal End Humerus Managed with Open reduction and Internal fixation.

Dr.Ghaniuzzoha Asadi; Dr.Suyash Kothari

Volume : VI, Issue : V, May - 2017

A Prospective Study of Functional Outcome of Supracondylar and Intercondylar Fracture of Distal End Humerus Managed with Open reduction and Internal fixation.

Dr. Ghaniuzzoha Asadi, Dr. Suyash Kothari

Abstract :

Background- Distal humerus fractures are uncommon injuries that account for fewer than 2% of all adult fractures, the complex shape of the elbow joint, the adjacent neurovascular structures and the sparse soft tissue envelope combine to make these fractures difficult to treat.The principle of anatomic restoration of articular surface, stable fixation and early motion are the optimal treatment goals.In this study, we have reviewed the functional result obtained in a series of supracondylar & inter-condylar fractures of the distal end of humerus treated by open reduction and internal fixation. Aim & Objectives- Aim of this study is to evaluate anatomical and functional outcome of treatment of supracondylar & intercondylar fractures of distal end humerus with open reduction and internal fixation & to assess the rate of complications like non-union, malunion or infection after fixation of fracture.Objective is to achieve stable fixation and early mobilization & to evaluate the effect of this type of fracture on functional recovery and work capability in post-operative period. Material & Methods-A prospective study of 30 cases of comminuted supracondylar & inter condylar fracture of distal end humerus treated with open reduction and internal fixation was done from period of October 2014 to April 2016.Post operatively patients were reviewed every month for the first three months and at six month till one year or until full range of motion was regained. Results-91% of fracture were closed and 9%were open.Majority of the patients falling in Type III(64%)Riseborough & Radin Classification.Range of motion gained post-operatively were good in 19 patients (64%)and poor in 4 patients(13%).Almost all fractures united at last follow up x-ray.3 patients had delayed union, because of old age, type 4 injury & prolonged period of immobilization. Discussion-These fractures are more common in middle aged and elderly individuals due to osteoporosis occurring commonly due to fall on elbow. Results were good with active mobilization of elbow started within 3 weeks.Type III fracture showed good results due to less soft tissue injury, immediate operation, less soft tissue dissection, rigid fixation, early active mobilization of elbow and absence of infection Conclusion- Open reduction and internal fixation provide anatomical restoration of joint and stable construct to allow early postoperative motion without compromising bone healing.It provides excellent function of elbow joint which is essential to perform day to day activities.