DOI: 10.36347/sjams.2019.v07i02.039

Pages: 625-630

The aim of the study was to determine the types of supracondylar fractures in male and female of age >18 years. To study the advantage of fixation with distal femoral locking compression plates, dynamic condylar screw and retrograde nailing along with the outcome of treatment. Methods: The present study was conducted between August 2016 to December 2018 in Mahatma Gandhi Memorial Hospital, Kakatiya Medical College, and Warangal. 30 patients presenting with supracondylar fractures of the femur were selected according to the inclusion and exclusion criteria treated by distal femoral locking compression plates, dynamic condylar screws and retrograde supra condylar nailing. The patients were then assessed clinically to evaluate their general condition and the vital signs were recorded. The involved extremity was examined for swelling, deformity, abnormal mobility, crepitus, shortening, discoloration, skin integrity, neurological and vascular compromise, and signs or symptoms of compartment syndrome. A standard operating procedure was followed for the surgical treatment Antibiotics was started 1 hour pre-operatively and continued postoperatively [intravenous cephalosporins and aminoglycoside] for 7 days. Follow up after 3 weeks and later 3 months, 6 months, 18 months and 24 months. At each follow-up, X-rays were taken and ROM was assessed and Neer’s scoring was done. Result: Out of n=30 patients n=9 cases were between 21-30 years (30%), n=5 cases (16.65%) between 31-40 years, n=4 cases (13.3 %) between 41-50 years, n=5 cases (16.6 %) between 51-60 years, n= 7 cases (23.3 %) were aged more than 60 years. N=4 cases with DCS fixation had a radiological union between 12-14 weeks, n=5 cases between 14-16 weeks, the n=1 case between 16 -18nweeks n=5 cases of SCN fixation had a radiological union between 12-14 weeks, n=5 cases between 14-16 weeks. n=3 cases of LCP fixation had a radiological union between 12-14 weeks, n=2 cases between 14-16 weeks, n=5 cases between 16-18 weeks