A prospective study of surgical management of the displaced supracondylar fractures of humerus in children with k wire fixation

Abstract

Background: Supracondylar fractures of humerus is the commonest injury, constitutes about 65.4% of all fractures about the elbow in children. Displaced supracondylar fracture of humerus demand great respect and challenging one to treat, since it requires accurate anatomical reduction and internal fixation to prevent complications. So, in this study, we reported the results of closed and open reduction and internal fixation with K-wires in the displaced supracondylar fracture humerus in children. Material and Methods: Fourty cases of displaced (Gartland’s type 2 and 3) supracondylar fractures treated by internal fixation with K-wires were studied between September 2013 to August 2015 at our institution and followed for an average of 24 months. Results: We came across 26male patients and 14 female patients. Majority of the cases were due to high energy trauma of road traffic accidents involving relatively younger patients. At the end of 5 months, all except four patients could mobilize independently without any aid. We did not come across complications like fracture of femur and failure of fixation and no reoperations were required. Conclusions: Internal fixation with K-wires is the most commonly accepted treatment of displaced supracondylar fracture humerus in children when done at appropriate time. It gives more stable fixation, better anatomical reduction with negligible complication.