Transosseous fixation of intercondylar fracture of lower end humerus by tension band wiring technique

Rakesh Dubey; Vaibhav Sadigale; Jainilkumar Parmar

Article Details

Transosseous fixation of intercondylar fracture of lower end humerus by tension band wiring technique

Authors:

Rakesh Dubey | Vaibhav Sadigale | Jainilkumar Parmar

Publisher:

Eldaghayes Publisher, Tripoli, Libya

Main Topics:

Intercondylar Fracture | Intra-Articular | Tension Band Wiring | Compression | Novel Technique

Journal:

International Journal of Medical Science and Public Health Vol.3 Issue 3, pp.305-305

Document Type:

Article

Publication Date:

12/2013

Document Language:

English

Document ID (Org No.):

2001521062

pISSN:

2320-4664

Keywords:

Abstract:

 Background: Intercondylar fractures of lower end of humerus is a challenge for orthopedic surgeon to fix rigidly for early mobilization. We hereby have devised a novel technique of fixing an intercondylar fracture of lower end of humerus by transosseous route utilizing the Tension band wiring. We successfully obtained a rigid, stable reconstruct without affecting the anatomy of the region.
 
 Aims & Objective: To study the effect of transosseous fixation of intercondylar fracture of lower end humerus by tension band wiring technique.
 
 Materials and Methods: We have followed a novel technique for treating intercondylar fracture of lower end of humerus. Till date we have treated 10 patients of supracondylar fracture of humerus with intercondylar extension. All patients were selected randomly the only criteria was a supracondylar fracture of lower end of humerus with intercondylar extension. This method gave us four cortices fixation in the lower intercondylar region which was not possible till date by other methods of fixation. So now T-Y elbow type of fracture is converted into a supracondylar fracture. Rest fixation of supracondylar fracture was done with perpendicular plating and k wire TBW in case of osteoporotic bones.
 
 Results: Out of 10 treated cases with this method all get rigid fixation and radiological union at average of 8 weeks. Average ROM was 5-100. One case had postoperative stitch infection, one had k wire impinging on skin and two patients lost follow up after 3 months.
 
 Conclusion: Complicated fractures of intercondylar region of distal humerus can be successfully managed by interosseous TBW technique. We recommend such technique and further research regarding it.

Article Details

Transosseous fixation of intercondylar fracture of lower end humerus by tension band wiring technique

Authors: Rakesh Dubey | Vaibhav Sadigale | Jainilkumar Parmar

Publisher: Eldaghayes Publisher, Tripoli, Libya

Main Topics: Intercondylar Fracture | Intra-Articular | Tension Band Wiring | Compression | Novel Technique

Journal: International Journal of Medical Science and Public Health Vol.3 Issue 3, pp.305-305

Document Type: Article

Publication Date: 12/2013

Document Language: English

Document ID (Org No.): 2001521062

pISSN: 2320-4664

Intercondylar Fracture

Intra-Articular

Tension Band Wiring

Compression

Novel Technique

Issues

Authors:

Rakesh Dubey | Vaibhav Sadigale | Jainilkumar Parmar

Publisher:

Eldaghayes Publisher, Tripoli, Libya

Main Topics:

Intercondylar Fracture | Intra-Articular | Tension Band Wiring | Compression | Novel Technique

Journal:

International Journal of Medical Science and Public Health Vol.3 Issue 3, pp.305-305

Document Type:

Article

Publication Date:

12/2013

Document Language:

English

Document ID (Org No.):

2001521062

pISSN:

2320-4664