SUPRACONDYLAR FRACTURE

Autor: Naveed Ahmed Solang, Ghulam Mustafa Kk, Muhammad Bakhsh Chachar, Malik Wasim Ahmed, Mohammad Ishtiyaque
Rok vydání: 2018
Předmět:
Zdroj: The Professional Medical Journal. 21:644-648
ISSN: 2071-7733
1024-8919
DOI: 10.29309/tpmj/2014.21.04.2410
Popis: Objective: Management of supracondylar femur fracture is complex. Theobjective of this study was to assess the functional outcome of our patients managed withdynamic condylar screw fixation. Methods: This descriptive case series was carried out in thedepartment of Orthopedic Surgery, Dow University of Health Sciences / Civil Hospital Karachifrom 6th October, 2012 to 5th April, 2013.All the patients with Type A supracondylar fractures offemur diagnosed clinically and radiologically presenting within two weeks of injury wereincluded. Patients with systemic injuries were excluded. Final functional outcome were assessedby Schatzker and Lambert Criteria. Results: A total of 97 patients were included in this study. Theaverage age of the patients was 38.36±9.45 years (years + SD) and average duration of fracturewas 6.10 days. Male to female ratio was 2.03: 1. Two third of patients (67.01%) were injured byroad traffic accident, 28.87% suffered fall from height and 4.12% had slips. Acceptable outcome(Excellent and Good) at three months was observed in 86.6% (84/97) patients while unfavorableoutcome (Moderate and poor) were observed in 13.4% (13/97) cases. Outcome was better inpatients below 50 years of age (p=0.0005). Conclusions: Dynamic condylar screw appeared tobe an easy, less technically demanding and effective method for stabilization of supracondylarfemur fractures. Younger age group (age
Databáze: OpenAIRE