Title: Role of Closed Reduction & Internal Fixation in Supracondylar Fractures of the Humerus
Authors: Dr Mayank Shukla, Dr Amrta Tiwari, Dr Deepak Kumar
DOI: http://dx.doi.org/10.18535/jmscr/v4i6.11
Abstract
Background: Displaced supracondylar fractures have a high rate of displacement and if not reduced and stabilized in optimal position may lead to serious residual deformity. No general agreement on the treatment is evident with controversy prevailing regarding the ideal timing of surgery, method of maintenance of reduction and configuration of the pin fixation.
Materials And Methods: Twenty Four males and Eight females with ages ranging from 3-12 years who required closed reduction and internal fixation using percutaneous Kirschner wire for fresh displaced supracondylar fractures of humerus between March 2012 -Dce 2015 were selected. The Kirschner wires were passed percutaneously under C-Arm control from the lateral epicondyle in varying geometry or configuration to achieve fracture stability. Each patient was followed up for at least one years and results were graded using the Flynn’s criteria. They were graded as excellent in 28 (87.50%) cases, good in 03(09.38%) cases and only 01 (03.12%) case had a poor result, there were no fair results at the end of final follow up.
Conclusion: Treatment of the supracondylar humeral fracture in children by closed reduction and internal fixation is a safe approach with predictable good clinical and radiographical results.
Key-words: Anatomical reduction, Percutaneous Fixation, Baumann’s angle, Humerus supracondylar fracture and closed reduction.
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