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International Journal of Recent Trends in Science and Technology, ISSN 2277-2812 E-ISSN: 2249-8109
Volume 15, Issue 2, June 2015 pp 328-332
Study of different operative modalities used for treatment of supracondylar fracture and its outcome
Rajesh Ambulgekar1, Pritesh Kothari2, Prajyot Kandolkar3, Rohit Thakkar4, Rahul Berlia5, Sohail Ahmed6
1Professor, 2,6Senior Resident, 3Post Graduate Student(3rd year), 4Post Graduate Student(2nd year), 5Post Graduate Student(1st year), Department of Orthopaedics, SCGMC, Nanded, Maharashtra, INDIA.
Background: Supracondylar fracture femur cases present a complex problem to all surgeons. Soft tissue injury, intra-articular extension and quadriceps mechanism injury cause great morbidity in this fracture. Treatment of these fractures has been a controversial subject over the past two decades. There has been a changing philosophy towards surgical treatment of Supracondylar fractures of femur. Objective: To study the outcome and results of operative modalities of treatment for Supracondylar fracture femur with locking compression plates, dynamic condylar screw with side plate and retrograde Supracondylar nail. Methods: The present clinical study was carried out over a period of January 2010 to August 2011. 50 Patients between the age groups 21-70 years were operated for Supracondylar fracture femur. 20 patients operated with Locking Compression Plate, 17 operated with Dynamic Condylar Screw with side plate, and remaining 13 were operated with Retrograde Supracondylar Nail. The results were evaluated using Schatzker and Lambert’s Criteria and patients were categorised into excellent, good, fair and poor at the final follow up. Results: Average duration of surgery for Locking Plate, Dynamic Condylar Screw with side plate and Retrograde Supracondylar Nail was 125.9 minutes, 134.41 minutes and 113 minutes respectively. Average blood loss was 305ml, 282.35 ml and 142.3 ml respectively. According to Schatzker and Lambert Criteria, Locking Plate had 35% excellent results, 50% good results, 10% moderate results, whereas only 5% poor results. Dynamic Condylar Screw with side plate had 47.07% excellent results, 17.65% good results, 23.53% moderate results and 11.77% poor results. Retrograde Supracondylar Nail had 38.46% excellent results, 30.77% good results, 7.7% moderate results and 23.07% poor results. Conclusion: Supracondylar nailing was superior to locking plate and dynamic condylar screw with respect to Average blood loss and Average duration of surgery. However, as per Schatzker and Lambert Criteria the outcome was dependent on type of fracture.