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Case Studies | Orthopaedic Surgery | India | Volume 12 Issue 5, May 2023
Functional Outcome after Close Reduction Internal Fixation with K Wire of Type III Supracondylar Fracture Humerus in Children under C-Arm
Abstract: Introduction: Supracondylar fractures of the humerus are the most common type of elbow fractures in children, accounting for 50-70% of all fractures about the elbow. Supracondylar fractures takes place through a relatively weak portion of the lower end of the humerus between the condyles distally and the strong shaft of the humerus proximally. Although the incidence of these fractures generally has been reported to be higher in boys, more recent reports indicate that the frequencies of supracondylar humeral fractures in girls and boys seem to be equalizing, and some series actually have reported higher rates in girls. The left side or nondominant side is most frequently injured in almost all studies. The peak age range in which most supracondylar fractures occur is 5 to 6 years. Materials and Methods: The study was conducted on 30 children undergoing surgical management of unstable or irreducible type III supracondylar humeral fractures during 2020 to 2022 in Department of Orthopaedics, Government Medical College Kota. The patients were followed up at 3, 6 weeks, 12 weeks and 6 months after the surgery. The assessment of pain, swelling, tenderness at fracture site, movements of the elbow, carrying angle of the elbow, union of the fracture and bauman?s angle was assessed at 6 months, follow-up and scored according to Modified Flynn et al grading. Results: The excellent to fair results were found in 96.66% of cases. This is probably due to good anatomical alignment, stable fixation, and early mobilisation with monitoring and early physiotherapy. One patient [3.33%] had unsatisfactory result as they presented late to us. We found two patients having pin tract infection and two patients with cubitus varus deformity in our study. Conclusion: From the present study it is concluded that, 1. It is increasingly difficult to obtain an excellent result from a displaced supracondylar fracture if the definitive treatment is delayed.2. To obtain a perfect result, an accurate anatomical reduction is needed; this can be achieved by close reduction and fixation of these fractures with K-wires, thus stabilizing the fracture fragments and lessening the risk of vascular and nerve complications.3. Close reduction with fixation with k wire of displaced supracondylar fracture of humerus allows decompression of the haematoma with correct anatomic restoration.4. Closed reduction and medial-lateral percutaneous K-wire fixation is the treatment of choice for displaced pediatric supracondylar fractures of the humerus.
Keywords: Supracondylar fractures; Modified Flynn et Al Grading System; K wire fixation; bauman?s angle; Carrying angle
Edition: Volume 12 Issue 5, May 2023,
Pages: 2045 - 2050