- Discussion:
- type of supracondylar fractures that occurs within joint capsule;
- most commonly occurs w/ osteoporotic bone;
- Treatment:
- nondisplaced frxs are treated w/ splinting or percutaneous pinning;
- displaced frx will require ORIF;
- consider molding the chosen plate to allow insertion of 1-2 screws in
the distal fragment;
- Posterior Approach:
-
ulnar nerve is identified;
- expose frx using Hohmann retractors medially and laterally;
- reduction of the fracture;
- inserted of
3.5 mm cortex screws as lag screws, if possible;
- apply either two 3.5 mm DCP or two
3.5 mm reconstruction plates (one
medially and one laterally) are used;
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