Online ISSN: 2515-8260

Keywords : Closed reduction

Surgical management of pediatric supracondylar humerus fractures with percutaneous pinning: A prospective study

Dr. Sundaresh K, Dr. Venugopal R, Dr. Albin Geo Babu, Dr. Vinay Reddy S

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 7, Pages 2141-2154

Background and Objectives: Supracondylar fractures of humerus is a common injury in children accounting to 60% of the fractures around the elbow. The management of displaced
supracondylar fracture of the humerus is one of the most challenging, since it requires accurate reduction and internal fixation to prevent complications. Conservative treatment results in malunion. Open reduction and internal fixation is more invasive and recovery is prolonged. Closed reduction and percutaneous pinning is preferred method of treatment for displaced supracondylar fracture of humerus in children. The objectives of this study is to report the results of closed reduction and internal fixation with percutaneous k wires in the displaced Gartland type 2 and type 3, supracondylar fracture humerus in children.
Materials and Methods: A prospective clinical study conducted at the Department of Orthopaedic Surgery, Vijayanagar Institute of Medical Sciences, Ballari. from August 2020 to August 2022. This study consists of 30 cases of displaced supracondylar fracture humerus treated by closed reduction and internal fixation with k wires. The cases were selected according to inclusion and exclusion criteria. The final results were evaluated according to Flynn et al. criteria.
Results: In our study based on Flynn et al. criteria, the following results were made. Of the 30 cases, 21 patients obtained excellent results, 5 patients had good results, 3 patients had fair results, that is 29 patients had satisfactory results and one patient had poor result, that is unsatisfactory result. The results were comparable to other studies.
Conclusion: It can be concluded from the present study that closed reduction and internal fixation with percutaneous k wires, for displaced supracondylar fracture humerus in children gives good anatomical reduction, stable fixation and good functional outcome with minimum complication.