Outcome of supracondylar fractures of the humerus in children treated byclosed reduction and percutaneous pinning
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 8, Issue 3
Abstract
Background and Objectives: 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 reduction and percutaneous pin fixation with K-wires in the displaced (Gartland’s type III) supracondylar fracture humerus in children. Methods: 30 cases of displaced (Gartland’s type III) supracondylar fractures treated by closed reduction and percutaneous pin fixation with K-wires were studied between September 2012 –August 2013 at our institution and followed for an average of 12 months. Results: In our study of 30 patients, all were closed Gartland’s type III fractures withthe mean age of 5.76 years, 18 patients sustained fracture due to fall while playing, 18 had on left side, with posteromedial displacement in 20 patients. 1 patient had associated distal end radius fracture. Majority of patients operated on 2nd day and discharged on 2nd postoperative day. 2 patient had superficial pin tract infection, 1 had cubitus varus deformity. Conclusion: This study shows that, closed reduction and percutaneous pin fixation with K-wires gives better anatomical reduction, stable fixation with minimal complications and it is most commonly accepted method for fixation of supracondylar fracture of humerus is children.
Authors and Affiliations
Anil Kumar D N, Bahskar Gouda
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