A Prospective study of Post Treatment Residual Deformities in Supracondylar Fractures of Humerus in Children
Journal Title: GJRA-Global Journal For Research Analysis - Year 2015, Vol 4, Issue 8
Abstract
Introduction- Although supracondylar fractures constitute a large chunk of pediatric fractures in orthopedics emergency there has not been any consensus on the mode of management with treatment undergoing evolution. Fracture is notorious for difficulties it presents like stiffness, malunion, nerve injuries, VIC. Our study aims to bring consistency to management. Material and method- Our study is of 40 children with supracondylar fracture humerus who came in emergency. After examination treatment was done with closed reduction and POP cast application or closed reduction and percutaneous k-wire fixation or open reduction and k-wire fixation. Result was assessed via Mitchell and Adams criteria (1961). Result- Closed reduction with POP cast gave good results in type 1 fractures whereas closed reduction with k-wires gave an excellent result in type 2 and open reduction and k-wire fixation gave generally excellent result with type 3 along with closed reduction. Conclusion- Closed reduction with POP cast is carried out in type 1 unless medial communition is seen. Closed reduction with percutaneous k-wire should be carried out in all cases of type 2 and 3 fractures. Open reduction with k-wire fixation be done in those cases where closed reduction is not achieved.
Authors and Affiliations
Dr. saurabh Sharma, Dr Mayank chauhan, Dr Vikram Khanna, Dr Ishan ghuse
Keywords
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