“DOUBLE TENSION BAND OSTEOSYNTHESIS IN DISTAL HUMERUS FRACTURE IN OSTEOPOROTIC ADULTS AND INFECTED NONUNIONS”

Abstract

Background: It is a challenge for orthopedic surgeon to x osteoporotic distal humerus fracture rigidly for early mobilization because holding power of plate and screws is low in osteoporotic bone fracture and have higher failure rate. Second challenge is to x an infected nonunion of distal humerus fracture because of restriction to use plate and screw. To achieve a stable , pain free and mobile joint require appropriate planning , systematic approach and anatomical reduction. To evaluate effectiveness of double tension band osteosynthesis in distal hume Aim: rus fracture of osteoporotic adult bone and infected nonunions. Ten patients presenting six fractures and three Method: nonunion of the distal humeral ,treated with double tension band wiring between 2018 and 2023 were retrospectively evaluated , two fracture were type A2 , two were type C1, remaining two were type C2 and rest are previously operated infected nonunions. Patients age averaged about 55 years. There are 5 males and 5 females. Out of 10 cases treated with t Results: his method, rigid xation and union was achieved in all of them. Radiological union was achieved at an average of 10.8 weeks (8-14weeks). Average range of motion was 104.5 degrees with maximum range of motion 120 degrees (10-130) and minimum of 70 degrees (30-100). Excellent or good results were obtained in 80% of the patients in our study. Double tension b Conclusion: and is a reliable, less demanding and cost effective method of xation of distal fractures of humerus in osteoporitic adults and infected nonunions.