Treatment for the Supracondylar Fractures of the Distal Humerus with Cannulated Screw.
10.12671/jkfs.2007.20.1.58
- Author:
Jin Soo PARK
1
;
Young Khee CHUNG
;
Jung Han YOO
;
Kyu Cheol NOH
;
Kook Jin CHUNG
;
Dong Nyoung LEE
Author Information
1. Department of Orthopaedic Surgery, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. nyjspark@yahoo.co.kr
- Publication Type:Original Article
- Keywords:
Humerus;
Supracondylar;
Fracture;
Cannulated screw
- MeSH:
Aged;
Classification;
Elbow;
Elbow Joint;
Follow-Up Studies;
Humans;
Humerus*;
Methods;
Radius Fractures
- From:Journal of the Korean Fracture Society
2007;20(1):58-63
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the results of the treatment of the supracondylar fractures of the humerus according to the fixation methods with cannulated screw. MATERIALS AND METHODS: Eight patients, aged 49 to 82 years (average, 65 years), were reviewed after a mean follow-up of 16 months (range, 12~24 months). According to AO classification all fractures were classified as type A2 (simple transverse supracondylar fracture). All patients underwent closed reduction. Percutaneous fixation with cannulated screws was performed in 8 patients. Three of 8 patients had associated medical problems and one patient had distal radius fracture. The functional results were assessed by the Mayo Elbow Performance Score. RESULTS: Mean operation time was 59 minutes (45~75) and all the patients with cannulated screw fixation had bony union and were able to early ROM exercise. Mean ranges of motion was 5~120 degrees with excellent functional results. Functional evaluation of elbow joint by Mayo method showed mean value of 88 (75~95). CONCLUSION: The cannulated screw fixation of supracondylar fracture of humerus, especially in the elderly aged group with medical disease had excellent functional results (rigid fixation & early ROM exercise) due to shortening of surgery time and anesthesic time, combined with decreased technical difficulties of the surgical procedure
