Panacea Journal of Medical Sciences

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Assessment of functional and radiological outcomes of closed reduction and K-wire fixation of supracondylar fracture of humerus in children

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Original Article

Author Details : Deelipkumar Choudhary, Shivanand C Mayi, Ranganath N*

Volume : 13, Issue : 1, Year : 2023

Article Page : 98-102

https://10.18231/j.pjms.2023.021

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Abstract

Introduction: Supracondylar fractures of the humerus are commonly seen in children and are difficult to manage because of their unstable nature. It is difficult to maintain the reduction with splints. Non-operative treatment is associated with malunion and open reduction is more invasive procedure. Closed reduction of the fracture with percutaneous K-wire fixation is the preferred procedure with satisfactory results.
Materials and Methods: Children who came to the tertiary care hospital with a fracture in the supracondylar region following history of trauma to the elbow region and X-ray showing Gartland Type II and extension Type III fractures were included in this study. All these fractures were managed with closed reduction and fixation with K-wires inserted by percutaneous technique. Functional outcome and radiological union were noted.
Results: A total of 35 children were operated. About half of the study population were in the range of 6 to 8 years. Majority of study subjects were boys. The average time period between sustaining a fracture and surgical procedure was 1.35 ± 0.48 days. The final results of this treatment modality were graded based on Flynn’s criteria and about 94.28% of study subjects had excellent to good outcomes. One child had complication of superficial pin tract infection.
Conclusion: Displaced supracondylar fractures of humerus can be effectively managed with closed reduction and percutaneous criss-cross K-wire fixation. This procedure does not disturb the normal fracture healing process.
 

Keywords: Supracondylar fracture, Closed reduction, Percutaneous pinning, K­wires, Cubitus varus

How to cite : Choudhary D, Mayi S C, Ranganath N, Assessment of functional and radiological outcomes of closed reduction and K-wire fixation of supracondylar fracture of humerus in children. Panacea J Med Sci 2023;13(1):98-102

Copyright © 2023 by author(s) and Panacea J Med Sci. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 International License (creativecommons.org)