Main Article Content
Objective: To determine the effectiveness of reduction of supracondylar fracture of the humerus with neurovascular injury and the role of exploration.
Material and Methods: This descriptive cross-sectional study was conducted at the Department of Orthopedic Khyber Teaching Hospital Peshawar from July 2020 till July 2021 and children with supracondylar (Gartland type II and III) fracture of the humerus were included irrespective of neurovascular complication. Data were analyzed using SPSS. Mean and standard deviation was used for quantitative data. Frequency and percentages were used for qualitative data. Shapiro Wilk’s test was done to find the normality of the data.
Results: Mean age of the 65 children with Gartland type 3 closed extension type supracondylar fractures was 7 years ± 1.5 years. The female to male ratio was 1:2.2. The right side was involved in 28 (43%) left sides in 37(57%) patients. The mechanism of injury in all cases was a history of fall. At presentation 40 patients (61%) had no signs of neurovascular involvement while 25 patients (38%) had signs and symptoms of various nerve injuries, 11 of anterior interosseous nerve injury, 8 median nerve, and 6 radial nerve injuries, and no ulnar nerve injury while 6 patients had absent radial pulse with well perfused, pink hands
Conclusion: Thus we conclude that in most of the cases there is no need for exploration of vessel and nerve in supracondylar fracture with neurovascular injury if the fracture is reduced properly.
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
All articles published in the Journal of Medical Sciences (JMS) are licensed under the Creative Commons Attribution 4.0 International License (CC-BY 4.0). Under the CC BY 4.0 license, author(s) retain the ownership of the copyright publishing rights without restrictions for their content, and allow others to copy, use, print, share, modify, and distribute the content of the article even for commercial purposes as long as the original authors and the journal are properly cited. No permission is required from the author/s or the publishers for this purpose. Appropriate attribution can be provided by simply citing the original article. The corresponding author has the right to grant on behalf of all authors, a worldwide license to JMS and its licensees in all forms, formats, and media (whether known now or created in the future), The corresponding author must certify and warrant the authorship and proprietorship and should declare that he/she has not granted or assigned any of the article’s rights to any other person or body.
The corresponding author must compensate the journal for any costs, expenses, or damages that the JMS may incur as a result of any breach of these warranties including any intentional or unintentional errors, omissions, copyright issues, or plagiarism. The editorial office must be notified upon submission if an article contains materials like text, pictures, tables, or graphs from other copyrighted sources. The JMS reserves the right to remove any images, figures, tables, or other content, from any article, whether before or after publication, if concerns are raised about copyright, license, or permissions and the authors are unable to provide documentation confirming that appropriate permissions were obtained for publication of the content in question.