DOI: 10.36347/sjams.2014.v02i06.082

Pages: 3274-3280

Supracondylar humerus fractures with intercondylar extension in adults are uncommon injuries and present the most difficult challenge of the fracture of lower end of humerus. Restoration of the articular surface of distal humerus must be nearly perfect and sufficiently rigid to permit early mobilization of the elbow if the result is to be satisfactory. Acceptable results have been reported in majority of patients treated by open reduction and internal fixation. The aim of this study is to assess the functional outcome of surgical management of Supracondylar humerus fractures with Intercondylar extension in adults by various surgical methods and to study advantages and complications of various surgical procedures for the same. This is a prospective study of 20 cases of supracondylar humerus fractures with intercondylar extension in adults admitted to Narayana Medical College and Hospital, Nellore between November 2012 to October 2014. All the cases were evaluated with pre-operative x-rays of concerned elbow joints both in anteroposterior and lateral views and their post-operative outcome after ORIF with plate. The outcome was evaluated in terms of pain relief, range of movement of elbow joint, rate of union, intra operative and postoperative complications. Cases were taken according to inclusion and exclusion criteria. In this study of 20 cases, there were 11 males and 9 females with average age of 43.4 years and an average follow up of 11 months.