Muhammad Ayaz Khan, Muhammad Shafique, Ahmed Sohail Sahibzada, Shahid Sultan.
Management of type – A supracondylar fractures of femur with dynamic condylar screw (DCS).
J Med Sci Jan ;14(1):44-7.

Background: Supracondylar fractures of the femur in adults are relatively uncommon and account for only 7% of all femoral fractures1. However these fractures are often complex injuries, that present with numerous complications, like mal alignment, flexion contractures, stiffness and limb length discrepancies2. These fractures offer considerable challenges for the Orthopaedic surgeons. There are different treatment modalities for the management of these fractures i.e. conservative treatment, traction techniques, condylar blade plate, dynamic condylar screw, interlocking nails etc. The purpose of this study was to assess the outcome of dynamic condylar screw in supracondylar fractures of femur in adults, while comparing the results with other international studies. Research Methodology: This was a descriptive type of study carried out in the Department of Orthopaedics and Trauma Ayub Medical College & Teaching Hospital Complex Abbottabad from January 2003 to December 2004. This study was based on 30 patients of fresh supracondylar fractures of the femur treated with dynamic condylar screw. The patients were followed up for 1 year and parameters like union, range of movements and time for healing were recorded. Results: The age range was from 18 years to 72 years. 18 patients were male and 12 were female. The cause of injury was high energy trauma like road traffic accidents and fall from height. All fractures were of AO type A. Based on assessment of knee range of movement, rate of union, pain and limb length discrepancy, results were excellent in 18 patients (60%), good in 6 patients (20%), fair in 5 patients (17%) and poor in 1 patient (3%). Conclusion: At the end of the study it was found that dynamic condylar screw is one of the best device to treat supracondylar fractures of the femur.

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