Closed reduction and internal fixation with kirschner wires for supracondylar fracture humerus in children

Authors

  • S. Lakshmi Narayana Department of Orthopaedics, Kakatiya medical college/M G M Hospital,Warangal ,Telangana, India
  • L. Thippeswamy Naik Department of Orthopedics, Rajiv Gandhi Institute of Medical Sciences, Adilabad,Telangana, India
  • V. Raj Kumar Department of Orthopaedics, Kakatiya medical college/M G M Hospital,Warangal , Telangana,India
  • M. Anil Kumar Department of Orthopaedics, Kakatiya medical college/M G M Hospital,Warangal , Telangana,India

DOI:

https://doi.org/10.21276/apjhs.2016.3.3.16

Keywords:

Supracondylar fracture, Gartland’s classification

Abstract

Background: Supracondylar fracture of humerus is the commonest injury around elbow in children. It constitutes about 60% of all the fractures about the elbow in children. Aim: To evaluate the results of supracondylar fractures treated by closed reduction and percutaneous K wire fixation. To evaluate post operative complications. Results: There were 16 boys (80%) and 4 girls (20%) with average of 7.2 patients. 14 patients (70%) presented with involvement of left side and 6 patients (30%) on the right side. No case sustained fracture due to a fall on a flexed elbow and all 20 cases fell on outstretched hand. Of the 20 cases, 6 had postero-medial displacement, 12 had postero-lateral, and 2 had posterior displacement. Traumatic median nerve injury (in three cases), Radial nerve palsy (one case), In present study 12 cases (60%) exhibited good , 6 cases (30%) exhibited fair and 2 cases (10%) exhibited poor results. 2 cases (10%) had poor results, which are considered as failures. Both cases had a Change in the carrying angle, more than 20 degrees, out of which both presented late at the hospital. Conclusion: Closed reduction with percutaneous pin fixation provides an accurate, stable reduction, is easy to perform and had found to give consistently good results.

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Author Biographies

S. Lakshmi Narayana, Department of Orthopaedics, Kakatiya medical college/M G M Hospital,Warangal ,Telangana, India

Associate Professor, 

L. Thippeswamy Naik, Department of Orthopedics, Rajiv Gandhi Institute of Medical Sciences, Adilabad,Telangana, India

Assistant Professor, 

V. Raj Kumar , Department of Orthopaedics, Kakatiya medical college/M G M Hospital,Warangal , Telangana,India

Senior Resident, 

M. Anil Kumar, Department of Orthopaedics, Kakatiya medical college/M G M Hospital,Warangal , Telangana,India

Senior Resident, 

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Published

2016-09-30

How to Cite

S. Lakshmi Narayana, L. Thippeswamy Naik, V. Raj Kumar, & M. Anil Kumar. (2016). Closed reduction and internal fixation with kirschner wires for supracondylar fracture humerus in children. Asian Pacific Journal of Health Sciences, 3(3), 95–100. https://doi.org/10.21276/apjhs.2016.3.3.16