Mian Muhammad Azhar.
The outcome of supracondyler fractures of elbow joint treated during different periods of time by different techniques in district population.
Pak J Med Health Sci Jan ;5(4):662-7.

Objective: To assess the outcome of supracondyler fractures of elbow joint treated by different techniques to assess their complication in different hands and to create awareness in public and treating doctor to highlight the results of such injuries and their complications. Place and duration of study: The study was conducted during period of 2006 to August 2010 in orthopedic department of Allama Iqbal Memorial Hospital Sialkot. Material and method: Total 179 patients were included in this study from 200 to 2010 at Allama Iqbal Memorial Hospital. The patients were divided into two groups, Group A consist of 55 pts who directly came to hospital after trauma and were operated between 1-3 days of injury. Group B which was further sub divided into to two groups, group B (1) consist of 56 pts who were initially treated by quakes and presented after 10 to 15 days of injury and were also operated, Group B (2) consist of 86 pts who were also treated by quakes and later on at Allama Iqbal Memorial Hospital with conservative treatment by free medication, range of movement exercises and extensive physiotherapy. Total 111 patients were operated and open reduction with k, wire fixation was done. All patients (179) were evaluated clinically and radiologically by modified Gartland’s classification both pre-operatively and also post operatively and post operatively by modified frayn’s criteria to assess the overall rating of supracondylar fractures. Results: Sixteen patients presented with compartment syndrome, Twelve were operated four refused surgery. Six patients presented with established gangrene of forearm. four were operated and above elbow amputation was done two patients refused surgery and went to other district / Quake. Complications after different modes of treatment were noted which included infection stiffness of elbow joint, VIC; myositus, ossificans, anterior, interosseous nerve injury, spasm of brachial artery. Patient presented with neurological complications after trauma were relieved after treatment and those presented after quacks treatment had long term complications Conclusion: Early surgical intervention produce excellent results. The results were disappointing if operated late as chance of arm and elbow stiffening and infection due to already existing underlying subclinical infection because of dirty quake dressing were higher. we noted that there was no difference in respect to postoperative x-ray in terms of reduction of fracture or good result the soul reason in our opinion is illiteracy and casual attitude of parents who never follow the instructions of doctor for follow-up therefore we recommended that treating doctors should realize the importance of parents and patient counseling, outcome of such injury and prevention of complications.

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