Study of Outcome of Open Reduction with Triceps Sparing Method in Paediatric Supracondylar Humerus Fractures

Abstract

Supracondylar fracture of humerus in children is the commonest paediatric skeletal injury around the elbow. Peak incidence of this fracture occurs in age group of 6 - 9 years. Many treatment modalities are available in the management of Supracondylar fracture of humerus. The aim of this study is to evaluate the of short term results of open reduction using the triceps-sparing approach and Kirschner wire fixation after failed close reduction in Gartland Type III Supracondylar fracture of humerus in children. 30 patients, between age group 1-16 years were included in the study. According to FLYNN'S criteria, results were are analysed. Out of 30 patients 86.66% patients achieved good to excellent results and 13.33% showed fair and poor result. 66.66% of patients had excellent results and 20% of cases had good results. The total satisfactory results were 86.66%, 10% of cases had fair results and 3.33% of cases had poor results. The total unsatisfactory results were 13.3%. Open reduction and k-wire fixation without cutting triceps is a choice of treatment for displaced supracondylar fracture of humerus in children because of decreased risk of nerve injuries, vascular injuries and post operative stiffness.