Operative Treatment of the Supracondylar Fracture of the Fenlur

Park, Sang Won; Suh, Jeong Dae; Koo, Ja Sung

Abstract

The treatment of supracondylar fractures of the femur is still evolving and the results of different methods are still incomplete and controversial. Severe soft tissue damage, comminution and intraarticular extension of fracture lead to unsatisfactory results in many cases, regardless of the adequate treatment. We reviewed 26 cases of supracondylar fractures of the femur treated by internal fixation excluding isolated condylar fracture of the femur(type B by AO classification), according to the rating system of Neer et at. with average follow up period of 19 months(range 14 months to 34 months). According to AO classification, 11 cases(42.3%) were type A and 15 cases(57.7%) were type C. Of the twenty six cases, 8 cases were treated with anatomical plate fixation, 7 cases with dynamic condylar screw, 4 cases with AO-DCP, 3 cases with angle blade plate, 2 cases with Judet plate and 2 cases with IM nail. The results obtained were as follows; 1. The average time of clinical union was 21 weeks in type A and 23.1 weeks in type C. 2. According to Neers criteria, excellent were in 5 cases, satisfactory in 12 cases and unsatisfactory in 9 cases. 3. The complications were delayed union in 5 cases, deep infection in 2 cases in open fractures, angular deformity in 11 cases, and Bimited range of motion below 90 degrees in 11 cases.