Surgical treatment of extra articular supra condylar fractures of distal humerus in old aged patients with using closed reduction and fixation with 4mm cc screws

Abstract

Background: This study evaluate clinical, radiological, functional outcomes and complications with a long follow-up of extra articular supracondylar fracture in elderly patient treated with closed reduction and fixation with using 4mm cc screws.Methods: This study was conducted in Parul institute of medical science and research (PIMSR) vadodara, between January 2017 to December 2019, During that period Total 20 consecutive elderly patients 12 female and 8 male with extra articular supracondylar fracture treated with closed reduction and fixation with using 4mm cc screws. The clinical outcome was measured with pain levels, range of motion, and the Mayo Elbow Performance Score. Radiographs at latest follow-up were assessed for union, delayed union, nonunion, and hardware failure.Results: At most recent follow-up, The mean Mayo Elbow Performance scores were 92. According to Mayo Elbow Performance Index 16 patients had excellent outcome, 2 had good, 1 had fair and 1 had poor outcomes. Complications included nonunion, delayed union, implant backout screws required revision surgery with removal of implant + Open reduction plating and bone grafting.Discussion: Operative time was very less, all fracture were treated in manner of closed reduction so no much blood loss which were again helped in post of recovery of patient and added biological fixation advantages to fracture which further giving early consolidation of fracture in elderly patients with early mobilization and better outcome with very less complications.