Objective
To evaluate the result of dynamic condylar screw in terms of operative time, blood loss,
hospital stay, union, range of motion of knee, complication and need for bone grafting, and to
compare it with other technique published in literature.
Patients and Methods
This study was conducted in the Department of Orthopedics, Khyber Teaching Hospital,
Peshawar from May 2007 to March 2009. It included 33 patients with supracondylar fracture
of femur treated by dynamic condylar screw. All fractures were closed and non was
pathological. All were operated under General/Spinal anesthesia ans dynamic condylar screw
was put as per standard protocol. External protection was given to all patients for two weeks.
All were followed for one year, two were lost to follow up and the study was completed on
31 patients.
Results
Out of 31 patients 23 were male, and 8 were Female with male to female ratio 3:1. Average
operative time was 80 minutes and average hospital stay was eight days. There were 2
nonunion, 3 infections and 1 implant failure. Two developed stiffness of the knee joint.
Functional outcome was assessed using the Neer’s criteria.
Conclusion
Dynamic condylar screw is a still a very good option in our circumstances but we should use
it as a bridge plate in comminuted supra condylar fracture of femur to avoid infection and
need for bone grafting. (Rawal Med J 2010;35: ).
Key words: Supracondylar, femur, fracture, fixation.
|
