FUNCTIONAL OUTCOME OF DISPLACED SUPRACONDYLAR HUMERUS FRACTURE IN CHILDREN MANAGED WITH PERCUTANEOUS PINNING - A PROSPECTIVE STUDY

Abstract

Background: The majority of elbow injuries in children are supracondylar fractures of the humerus, accounting for around 60% of all elbow injuries in the rst ten years of life. Associated with complications like compartment syndrome, neurovascular damage, Volksman'sischaemic contracture and malunion. Two lateral pins or a cross pin construction are the most popular options for pinning. As compared to alternative treatment options, closed reduction and percutaneous K-wire xation are the most effective and least invasive. Complications like malunion, loss of reduction and compartment syndrome may arise from treating it conservatively. This research evaluates the functional and radiological results of closed reduction percutaneous K wire treatment for displaced supracondylar humerus fractures in children. Based on Materials and Methods: the inclusion and exclusion criteria from the consecutive sampling, 32 patients were chosen for the research. All patients had percutaneous K wirexation using the usual procedure. 20 children (63%) of them were affected in their rs Results: t decade of life, with a clear male predilection than females. Mayo elbow scoring was 2.5, 6.0 and 3.75 at 6 weeks, 3 months and 6 months. PTI and Cubitus Rectus was noted in 8 and 2 respectively in our study population. Clinical outcomes measured by Flynn criteria was poor in 2 cases, satisfactorily excellent in 28 and satisfactorily good in 2 case. Closed reduction and percutaneous pinning either by crossed conguration or by latera Conclusion: l pinning is the treatment of choice for paediatric supracondylar humerus fractures. Regardless of the conguration, the proper pinning method guarantees a successful result. Closed reduction and percutaneous pinning is a safe, cost-effective, less morbid procedure.