A STUDY OF PERCUTANEOUS FIXATION OF DISPLACED SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 14
Abstract
BACKGROUND Closed reduction and percutaneous K-wire fixation is the standard modality of treatment in displaced supracondylar fractures of distal humerus in children. We report the result of a prospective study of fifty patients, who were treated by closed reduction and simple percutaneous K-wire fixation using two lateral pins. MATERIALS AND METHODS In a prospective controlled study, 50 cases of displaced supracondylar humerus fractures in children were treated with closed reduction and percutaneous fixation by simple K-wires. The age group of the patients was upto 14 years. The fracture was immobilised for duration of three weeks. Cases were followed up for an average of 6 weeks post-operatively and all the early and late post-operative complications were recorded on the given proforma. Evaluation of the results was done on the basis of Flynn’s criteria by measuring loss of elbow motion and carrying angle. RESULTS A total of 50 patients completed the study. The mean age was 6.4 years with a gender distribution of 36 males and 14 females. The involved elbow was right in 28 (56%) patients and 22 (44%) patients had left-sided injury. There were 20 (40%) Gartland Type II fractures and 30 (60%) Gartland III fractures. One patient (2%) had pin tract infections, whereas none had osteomyelitis, neurovascular damage or compartment syndrome. 43 patients (86%) had excellent results according to Flynn’s criteria, whereas one patient (2%) had poor result. CONCLUSION Closed reduction under image intensifier and percutaneous K wiring through lateral approach in Gartland Type II and III fractures in children is a safe procedure and provides adequate stabilisation with satisfactory results without any risk to ulnar nerve injury
Authors and Affiliations
Rajesh Dhaka, Dilip Sharma, Shiv Bhagwan Sharma
Keywords
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- EP ID EP414365
- DOI 10.14260/jemds/2018/409
- Views 75
- Downloads 0
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