Sanjib Waikhom1, Sagnik Mukherjee2, Irom Ibomcha3, Akoijam Digendra2, Handboy R Sohkhlet2. 1. Associate Professor, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India . 2. Post Graduate Trainee, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India . 3. Professor, Department of Orthopaedics, Regional Institute of Medical Sciences , Imphal, Manipur, India .
Abstract
INTRODUCTION: Supracondylar fractures of humerus in children are usually treated with percutaneous pinning on emergency basis. When the operating time is delayed, percutaneous pinning is difficult due to massive swelling. Late presentation is common in developing countries. AIM: To assess the outcome of open reduction and internal fixation with K-wire of widely displaced supracondylar fracture when operated later than 2 days after the injury. MATERIALS AND METHODS: A total of 52 children (aged 3-12 years) with widely displaced supracondylar fracture of humerus (Gartland type-III) who presented later than 2 days after injury were treated with open reduction through medial approach and fixation with cross K-wires. RESULTs were assessed with Flynn's criteria. RESULT: A total of 40 patients completed follow-up. Mean age of all (n=52) patients was 4.8 years (range 3-12 years). Mean delay of presentation was 7.5 days (range 2-14 days). Hundred percent patients had satisfactory results according to Flynn's criteria. Two patients had pin infections. CONCLUSION: Open reduction through medial approach and fixation with two cross K-wires is a reliable method of treatment for supracondylar fractures of humerus in children when the operation is delayed.
INTRODUCTION:Supracondylar fractures of humerus in children are usually treated with percutaneous pinning on emergency basis. When the operating time is delayed, percutaneous pinning is difficult due to massive swelling. Late presentation is common in developing countries. AIM: To assess the outcome of open reduction and internal fixation with K-wire of widely displaced supracondylar fracture when operated later than 2 days after the injury. MATERIALS AND METHODS: A total of 52 children (aged 3-12 years) with widely displaced supracondylar fracture of humerus (Gartland type-III) who presented later than 2 days after injury were treated with open reduction through medial approach and fixation with cross K-wires. RESULTs were assessed with Flynn's criteria. RESULT: A total of 40 patients completed follow-up. Mean age of all (n=52) patients was 4.8 years (range 3-12 years). Mean delay of presentation was 7.5 days (range 2-14 days). Hundred percent patients had satisfactory results according to Flynn's criteria. Two patients had pin infections. CONCLUSION:Open reduction through medial approach and fixation with two cross K-wires is a reliable method of treatment for supracondylar fractures of humerus in children when the operation is delayed.
Entities:
Keywords:
Bone wires; Child; Humeral fracture surgery
Authors: Rana Dawood Ahmad Khan; Muhammad Nadeem Yousaf; Muhammad Zain-Ur-Rehman; Muhammad Irfan Fareed; Ajmal Yasin Journal: J Pak Med Assoc Date: 2015-11 Impact factor: 0.781