Indian Journal of Orthopaedics Surgery
  • Year: 2016
  • Volume: 2
  • Issue: 1

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

  • Author:
  • Shamim Ahmad Bhat1,, Raja Rameez1, Adnan Zahoor2, Tabish Tahir1, AsifNazir Baba3, Khurshid Ahmad Kangoo4
  • Total Page Count: 6
  • Page Number: 42 to 47

1Resident, Department of Orthopaedics, Hospital for Bone and Joint Surgery, Barzullah, Srinagar

2Registrar, Department of Orthopaedics, Hospital for Bone and Joint Surgery, Barzullah, Srinagar

3Assistant Professor, Department of Orthopaedics, Hospital for Bone and Joint Surgery, Barzullah, Srinagar

4Professor, Department of Orthopaedics, Hospital for Bone and Joint Surgery, Barzullah, Srinagar

*Corresponding Author: E-mail: Shamim_asc@yahoo.com

Online published on 26 August, 2016.

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 treatment 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