Determine the Outcome of Posterior Approach of Open Reduction and Internal Fixation in Supracondylar Type III Fracture in Children
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2014, Vol 26, Issue 02
Abstract
Supracondylar humeral fractures are the most common fractures seen in children. It is exclusively a fracture of immature skeleton. It has a greater rate of malunion, nerve injury, and poor results than any type of extremity fracture. Supracondylar type III fractures are recorded 54% in Pakistan. In situations where closed reduction fails, open reduction and k-wire fixation is applied. Objectives: To determine the outcome of posterior approach of open reduction and internal fixation in supracondylar type III fracture in children. Design: Descriptive case series Results: Majority of the patients 42%(n=42) were recorded between 6-10 years of age, 35%(n=35) were found with 11-14 years, and 23%(n=23) with 1-5 years. The mean age was recorded as 8.23 with 3.67 S.D. Gender distribution in the population included in our study, male were found in 71% (n=71) while females were found 29% (n=29). Status of loss of motion according to Flylnn’s criteria shows 58% (n=58) excellent, Good in 27% (n=27), while fair and poor were found in 15% (n=15). Regarding carrying angle according to Flylnn’s 63% (n=63) excellent, 26% (n=26) Good and 11% (n=11) were found with fair and poor outcome. Conclusion: Posterior approach of open reduction and internal fixation in supracondylar type III fracture in children regarding loss of motion and loss of carrying angle is successful
Authors and Affiliations
Mudassar Siddique,Noman Shakeel Niazi, Adnan Latif Malik, Suhail Niaz Khan Niazi
Keywords
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