title: Double Tension Band Osteosynthesis in Inter-Condylar Humeral Fractures.
abstract: BACKGROUND
  Intercondylar humerus fractures are uncommon in orthopaedic practice. The treatment for the same has been described in the literature and include paragonal and orthogonal fixation by using plates. Tension band wiring as a treatment for the same is sparsely described in the literature.
  
  
  OBJECTIVE
  To evaluate the effectiveness of "Double Tension Band wiring" method for the treatment of intercondylar fractures of humerus and compare the results with studies involving treatment with locked plates.
  
  
  METHODS
  Twenty patients, all presenting with fresh fractures of the distal humerus, treated with double tension band wiring were retrospectively evaluated over a period of three years. Fractures were classified according to Jupiter classification of distal humeral fractures. There were 5 high T fractures, 13 low T fractures and 2 Y fractures. According to AO classification, all were C1 fractures. Average age of the patients was 56.20 years (32-70 years). There were 13 males and 07 females.
  
  
  RESULTS
  Out of 20 cases treated with this method, rigid fixation and union was achieved in all of them. The average tourniquet time was 69 minutes with minimum of 50 minutes and maximum of 120 minutes. 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.
  
  
  CONCLUSIONS
  Double tension band is a reliable, less demanding and cost effective method of fixation of intercondylar fractures of humerus.
authors.affiliation: Associate Professor and HOD, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Santosh Lakshmanrao
authors.initials: SL
authors.lastname: Munde
authors.affiliation: Senior Resident, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Mohmmed Javed
authors.initials: MJ
authors.lastname: Bhatti
authors.affiliation: Professor and Director, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: R C
authors.initials: RC
authors.lastname: Siwach
authors.affiliation: Assistant Professor, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Anil
authors.initials: A
authors.lastname: Gulia
authors.affiliation: Senior Professor, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Z S
authors.initials: ZS
authors.lastname: Kundu
authors.affiliation: Assistant Professor, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Bansal
authors.affiliation: Assistant Professor, Department of Orthopeadics, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Sanjay
authors.initials: S
authors.lastname: Middha
authors.affiliation: Associate Professor, Department of Pathology, BPS GMC for Women , Khanpur Kalan, Sonepat, Haryana, India .
authors.forename: Hemlata T
authors.initials: HT
authors.lastname: Kamra
keywords: Cost effectiveness; Distal humerus; Tourniquet time
references.citation: Eklem Hastalik Cerrahisi. 2010 Apr;21(1):44-9
references.pmid: 20302560
references.citation: Injury. 1994 Jul;25(5):305-9
references.pmid: 8034348
references.citation: Arch Orthop Trauma Surg. 2008 Jul;128(7):723-9
references.pmid: 17713771
references.citation: Chir Main. 2004 Apr;23(2):85-95
references.pmid: 15195581
references.citation: Orthopedics. 1992 Jul;15(7):825-33
references.pmid: 1630966
references.citation: Injury. 2002 Jul;33(6):511-5
references.pmid: 12098549
references.citation: J Bone Joint Surg Am. 1985 Feb;67(2):226-39
references.pmid: 3968114
references.citation: Injury. 2009 Jun;40(6):611-7
references.pmid: 19380130
references.citation: Chin J Traumatol. 2013;16(4):207-11
references.pmid: 23910671
references.citation: J Surg Orthop Adv. 2011 Winter;20(4):230-5
references.pmid: 22381415
references.citation: Orthopedics. 2000 May;23(5):449-52
references.pmid: 10825112
references.citation: Injury. 2012 Mar;43(3):295-300
references.pmid: 21782172