OUTCOME OF SUPRACONDYLAR HUMERUS FRACTURE FIXATION IN CHILDREN
Keywords:
supra-condyle, K-wire, closed reductionAbstract
Objectives: To assess the outcome of supra-condylar humerus fracture fixation in children.
Material and Methods: This prospective quasi-experimental study was performed at the Department of Trauma and Orthopedic, Khyber Teaching Hospital, Peshawar, Pakistan from August 2014 to June 2015. All children with close displaced Supra-condylar humerus fracture (Gartland type II & type III) were reduced and stabilized with either two lateral k-wires or two cross k-wires (depending on surgeon’s choice and expertise). Post-operative above elbow back slab was given for 3-4 weeks. Patients were followed up for clinical and radiological healing of the fracture. After about 4-6 weeks (average 5 weeks) k-wires were removed. At the end of follow-up period Flynn's criteria was used.
Results: A total of 32 patients were enrolled in this study. Fourteen (43.75% ) of them were fixed with two lateral k-wires while 18(56.25% ) with two cross k-wires technique. There were 24(75%) male and 8(25%) were female children. Patients
were evaluated by recording the outcome measures using Flynn’s criteria. Twenty-three (71.8%) had excellent outcome, 5(15.6%) good, while 4(12.5%) had fair outcome. None of the patient had poor outcome. None of the patient suffered from iatrogenic ulnar nerve injury.
Conclusion: Close reduction and careful percutaneous pinning under fluoroscopic control is a safe and reliable method of supra-condylarhumerus fracture fixation in children
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