: Distal femoral fractures are much less common than hip fractures and account for 7 % of all femoral fractures. To determine the fracture characteristics (AO type, Muller’s classification). To study the advantages of fixation with distal femoral locking compression plates and retrograde intramedullary supracondylar nailing. The present comparative study was conducted between May 2019 to November 2020 in department of othropeadics. Sample size of 30 patients presenting with supracondylar fractures of the femur were treated by distal femoral locking compression plates, dynamic condylar screws and retrograde supra condylar nailing.Out of 30 cases those treated by supracondylar nail had an average healing time of 14.8 weeks and those treated by locking compression plate had an average healing time of 15.9. Among the 30 cases of supracondylar fracture fixed by supracondylar nail 14 were scored as good and one was scored as excellent, whereas those fixed by locking compression plate 14 were scored as good and 1 cases was scored as fair. Out of 30 cases of supracondylar fracture fixed none had any intraoperative complications barring one which had break of drill bit intraoperatively and stayed insitu to the bone, there were no intances of surgical wound infections. The intraoperative blood loss was significantly lower when the fractures were fixed by supracondylar nail which averaged to 150ml when compared to the fixations by locking compression plate which averages to 300ml.The supracondylar nail is more ideal when compared to the distal femoral locking compression plate as there is less operation time, less blood loss, more range of movement, less soft tissue stripping & faster radiological union when compared to the distal femoral locking compression plate. Fracture personality & soft tissue quality.
Supracondylar fractures of the humerus were the most frequent occurrence, accounting for about 65.4% of all fractures around the elbow in infants. Displaced supracondylar humeral fractures need a high degree of respect and difficulty to be treated, as they require correct anatomical reduction and internal fixation to avoid complications. Thus, in this research, we documented the effects of open reduction and internal fixation with K-wires in the displaced (Gartland type III) supracondylar fracture humerus in infants.The prospective study of 25 cases of displaced (Gartland type III) supracondylar fractures treated with open reduction and internal fixation with K-wires were examined at our institution between September 2019 and July 2020 and followed for an average of 6 months. All Gartland Type III fractures were closed with an average age of 6.3 years in our study of 25 patients, 13 patients had slip fractures while playing, 18 patients had left-hand fractures, and 16 patients had posteromedial displacement. The fracturing of the distal end radius was associated with 2 patients. The majority of patients underwent surgery on the 2nd day and were home on the 3rd postoperative day. 16 had a loss of motion range of 0-5 °; 18 had a loss of motion angle of 0-5 °. 3 patients had inflammation of the superficial pin tract, 2 had traumatic median nerve paralysis, 2 had K-wire migration, 1 had a deformity of the cubitus varus and 1 had >15 loss of motion.This research shows that anatomical reduction, stable fixation with minimal complications has enhanced open reduction and internal fixation with K-wires. Therefore, the present analysis reveals an open reduction, and K-wire internal fixing is most generally known as an option for the reconstruction of infant supracondylar humerus fractures.
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