Treatment of supra condylar fractures of humerus in children, a SKIMS medical college study

Authors

  • Jawed Ahmed Bhat Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India
  • Arshad H. Wani Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India
  • Abid Din Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India
  • Reyaz Dar Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India
  • Naseer Ah Mir Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20203720

Keywords:

Closed reduction, Fractures, Humerus, Kirschner wire, Supra condylar, Volkman’s ischaemic contracture

Abstract

Background: Supracondylar fractures of the humerus account for sixty percent of all fractures around the elbow in children. Delayed presentation of these fractures is very common even in developed countries. The aim of the present study was to evaluate the clinical, radiological and functional results following closed reduction (C/R) and percutaneous pinning of widely displaced supracondylar fractures of humerus. An objective of this study was to study supracondylar fractures of humerus in children in Skims medical College.

Methods: A total 86 patients with displaced extension type supracondylar fractures (gartland type III) of humerus were managed by closed reduction and percutaneous fixation at Skims medical college after achieving optimal and satisfactory reduction. There were 52 boys and 28 girls. Average age was 6.69 years (range 2-12).

Results: A total 86 patients were successfully treated with C/R and cross pinning. 6 patients were lost to follow-up. 80 patients with a minimum follow-up period of 12 months formed the basis of this study.

Conclusions: C/R and pinning is effective method despite delayed presentation. Strict anatomical reduction and stable fixation minimises the risk of developing cubitus varus deformity.

Author Biographies

Jawed Ahmed Bhat, Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

Orthopaedics Deptt and Professor in Orthopaedics

Arshad H. Wani, Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

Orthopaedics and post graduate

Abid Din, Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

Orthopaedics and post graduate

Reyaz Dar, Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

Orthopaedics and lecturer

Naseer Ah Mir, Department of Orthopaedics, SKIMS Medical College, Srinagar, Jammu and Kashmir, India

Orthopaedics and HOD and Professor Orthopaedics

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Published

2020-08-26

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Original Research Articles