A prospective study of surgical management of the displaced supracondylar fractures of humerus in children with k wire fixation
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Supracondylar fractures of humerus is the commonest injury, constitutes about 65.4% of all fractures about the elbow in children. Displaced supracondylar fracture of humerus demand great respect and challenging one to treat, since it requires accurate anatomical reduction and internal fixation to prevent complications. So, in this study, we reported the results of closed and open reduction and internal fixation with K-wires in the displaced supracondylar fracture humerus in children. Material and Methods: Fourty cases of displaced (Gartland’s type 2 and 3) supracondylar fractures treated by internal fixation with K-wires were studied between September 2013 to August 2015 at our institution and followed for an average of 24 months. Results: We came across 26male patients and 14 female patients. Majority of the cases were due to high energy trauma of road traffic accidents involving relatively younger patients. At the end of 5 months, all except four patients could mobilize independently without any aid. We did not come across complications like fracture of femur and failure of fixation and no reoperations were required. Conclusions: Internal fixation with K-wires is the most commonly accepted treatment of displaced supracondylar fracture humerus in children when done at appropriate time. It gives more stable fixation, better anatomical reduction with negligible complication.
Authors and Affiliations
Praveen M Anvekar, Sachin S Nimbargi, Akshay MK, Milan Kothari
Keywords
Related Articles
- EP ID EP497953
- DOI 10.22271/ortho.2017.v3.i3c.30
- Views 120
- Downloads 0
Snapping hip disabling: About an observation and review of the literature
The snapping hip is a common pathology in sports. Of diverse etiology, we report a case of postoperative disabling hip dislocation in a 25-year-old patient. The problem posed by the management of this pathology was that...
An undiagnosed chronic back pain may come out with severe morbidity in young patient, needs to be evaluated adequately: A case report and review of literature
Introduction: there are various possible etiology for chronic back pain and malignancy is one of them. Extraskeletal Ewing’s Sarcoma usually involves sacrum while dorsolumbar junction involvement is uncommon. We are repo...
Mobile bearing vs fixed bearing total knee arthroplasty-shortterm outcome and postoperative recovery analysis
Background: Controversy exists regarding the clinical and functional outcome of mobile bearing compared to fixed bearing total knee prostheses. Even though lot of studies have compared the long term results, few have stu...
Prosthetic replacement in geriatric intertrochanteric fracture
Fracture stability, bone strength, and early rehabilitation determined the final results in cases of intertrochanteric fractures of femur of patients having the age above 60 years. The role of the Fixation devices for os...
Comparative analysis of two different surgical treatments: Distal fermoral fractures
Introduction: The treatment of distal fermoral fractures has been a controversial topic and it's recently evolved towards indirect reduction and minimally invasive techniques. Objective: To compare the results of the sur...