Surgical Management of Supracondylar Fractures of the Humerus in Children by Closed Reduction and Percutaneous Pinning with Kirschner Wires – A Clinical Study

• Main Author: K, Chandra shekar Reddy
• Format: Dissertation
• Language: English
• Published: ProQuest Dissertations & Theses 01-01-2009
• Subjects: Age; Bones; Brachial plexus; Closed reduction; Elbow; Fractures; Hospitals; Iatrogenesis; Injuries; Ligaments; Medicine; Pathology; Patients; Postoperative period; Range of motion; Surgery; Traction (Orthopedics); Veins & arteries; Wire; X-rays
• ISBN: 9798374459876

BACKGROUND & OBJECTIVES: Supracondylar fracture of humerus is a common injury in children. The management of displaced supracondylar fracture of the humerus is one of the most difficult of the many fractures seen in children.Displaced fractures are inherently unstable. 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 fractures in children.In this study,closed reduction and percutaneous K– Wire fixation under the guidance of image intensifier was done to study the age, sex and side incidence, anatomical and functional results of the procedure and the complications of procedure.METHODS: Twenty five displaced closed extension type of supracondylar fractures (Gartland's type III) of the humerus in children were treated by closed reduction and percutaneous fixation with Kirschner wires between July 2006 to September 2008 in chigateri government hospital and Bapuji Hospital attached to J.J.M. Medical College, Davangere.RESULTS:Out of 25 cases studied, 24 patients (96%) had satisfactory results according to modified Flyann’s criteria. There is one case of superficial pin tract infection and one case of pin migration. There are no cases of iatrogenic ulnar nerve injury or cubitus varus.CONCLUSION: Closed reduction and percutaneous fixation using 'K' wires is the most commonly accepted treatment of displaced supracondylar fractures of the humerus in children.