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Indian Journal of Orthopaedics Surgery


Outcome of Paediatric Supracondylar Fractures 0f Humerus with Closed Reduction and Percutaneous Fixation with 2 Crossed K-Wires


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Author Details: Shamim Ahmad Bhat, Raja Rameez, Adnan Zahoor, Tabish Tahir, AsifNazir Baba, Khurshid Ahmad Kangoo

Volume : 2

Issue :

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 42

Article End Page : 47


Abstract

Supracondylar fractures of humerus are common skeletal injuries in paediatric age group comprising 50-60% of elbow injuries. They are often associated with complications and are very notorious for neurovascular injuries between 5 to 10 years of age. Our objective was to evaluate the functional outcome with closed reduction and percutaneous cross k wire fixation. 60 patients of Gartland type III fractures admitted and treated in our hospital were taken for study. The results were assessed as per FLYNN CRITERIA. There were 48 excellent, 6 good,4 fair and 2 poor results. Fair results were due to poor compliance to follow up and postoperative rehabilitation. There were 8 cases with pintract infection, 2 with elbow stiffnes and 1 with cubitusvarus. Closed reduction and percutaneous K wire fixation is very effective and minimally invasive way of treament of displaced supracondylar humerus fractures. Crossed K wire seems biomechanically better way of stability of fracture reduction.

Keywords:
Supracondylar fractures, closed reduction, percutaneous k wire fixation, Flynn Criteria, cross k wire