Results of treatment of displaced supracondylar fractures of humerus in children by closed reduction and percutaneous pinning

Abstract

Background: Displaced supracondylar fracture of humerus is a common orthopedic problem in pediatric age group. The most common complications associated with these fractures are mal-union leading to cubitus varus, stiffness of elbow, myositis ossificans, compartment syndrome and neurovascular deficit. Different methods have been described for its management of which closed manipulation and percutaneous pin fixation results in good functional outcome.Material and Method: Between January 2016 to January 2017, 30 patients with supracondylar fracture of humerus of Gartland type II & III were included in this study. These patients were treated by closed reduction of fracture and percutaneous fixation with K-wire under C-arm guidance. The outcome was assed clinically by Flynn’s criteria and radiologically by Skaggs’s criteria.Result: The result was excellent in 73%, good in 16%, fair in 7% and poor in 4%.Conclusion: Closed reduction and percutaneous K-wire fixation is an effective treatment for displaced supracondylar fractures of Humerus in pediatric age group.