Open Access
American Research Journal of Orthopedics and Traumatology
ISSN (Online): 2572-2964
DOI: 10.46568/arjot
Bilateral Tension Band Osteosynthesis in Fixation of Intracapsular Supracondylar Distal Humeral Fractures
Abstract
Background: The distal humeral fractures in adults are complex and technically demanding. Most cases often need operative treatment. Many methods of fixation were evolved with the better imaging and new techniques and implants.
Patients and Methods: Fourteen patients, nine males and five females, with fracture of the distal humerus were treated with double tension band wiring through the period from May 2014 to June 2018. Patient’s age ranged from 26 – 52 (average: 36 y). DASH score (The Disabilities of the Arm, Shoulder and Hand) [12] was used for subjective evaluation; and pain at last follow-up was measured using an analog scale (0 being no pain and 10 significant pain).
Results: Clinically: By the end of follow up the DASH score ranged from 5 to 21 (average: 13.8 points). The pain scale analog ranged from 0 to 3 with average of 1.2 points. Radiologically: All fractures were united with average of 16 weeks range (12-18 weeks). There was no elbow stiffness or heterotopic bone ossification.
Conclusion: trans-osseous tension band wiring technique is an acceptable technique for treatment of supracondylar intracapsular fractures with good results. As regarding the small number of patients of this study, we recommend this technique for further research and large number of patients.
Patients and Methods: Fourteen patients, nine males and five females, with fracture of the distal humerus were treated with double tension band wiring through the period from May 2014 to June 2018. Patient’s age ranged from 26 – 52 (average: 36 y). DASH score (The Disabilities of the Arm, Shoulder and Hand) [12] was used for subjective evaluation; and pain at last follow-up was measured using an analog scale (0 being no pain and 10 significant pain).
Results: Clinically: By the end of follow up the DASH score ranged from 5 to 21 (average: 13.8 points). The pain scale analog ranged from 0 to 3 with average of 1.2 points. Radiologically: All fractures were united with average of 16 weeks range (12-18 weeks). There was no elbow stiffness or heterotopic bone ossification.
Conclusion: trans-osseous tension band wiring technique is an acceptable technique for treatment of supracondylar intracapsular fractures with good results. As regarding the small number of patients of this study, we recommend this technique for further research and large number of patients.
