Evaluation of reduction and fixation of displaced pediatric supracondylar humeral fractures by Kapandji technique

Abstract

Background Supracondylar fractures of the humerus are the most common fractures that occur in the pediatric elbow. Extension type (most common) is due to fall on outstretched hand. The management of this type of fracture in children is based on the degree of displacement and associated complications. Aim The aim of the study was to evaluate the Kapandji technique as a method of reduction for pediatric displaced supracondylar humeral fractures. Patients and methods This prospective randomized study was conducted on 21 patients with Gartland type III supracondylar fracture of the humerus. All the patients were treated with percutaneous pinning. Results All patients presented with acute Gartland type III supracondylar fracture of the humerus. The final results were analyzed, and it was found that 85.7% had excellent results, 9.5% were good, and 4.8% had poor results, with total 95.2% satisfactory results. Conclusion The results show that Kapandji technique is a rapid and safe maneuver for reduction of Gartland type III pediatric supracondylar fracture of the humerus providing stable reduction of the distal fragment and facilitating percutaneous pinning for fixation.