Transcondylar fractures

- 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

Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, September 12, 2011 1:56 pm