Abstract: Aim: To evaluate the cases of pediatric supracondylar humerus fractures operated with closed reduction and k wire fixation.
Methods: A prospective study was conducted in the Department of Orthopaedics, Netaji Subhas Medical College and Hospital, Patna, Bihar, India, June 2018 to July 2019. Total 32 children’s with displaced supracondylar fracture of Humerus in aged between 2-14yrs. Type II and III fractures 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 assessed clinically by Flynn’s criteria and radiologically by Skaggs’s criteria.
Result: among 32 patients, 24 were male and 8 were female. The fracture was extension type in all 32 patients. Left side was involved in 23 patients and right side in 9 cases. The average age was 9.1 yrs. 23 patients presented within 24 hrs and 9 patients between 2 to 5 days. Based on Gartland classification 7 patients had type-II and 25 patients had type III pattern. The mode of violence was fall during play in the ground 28 patients and fall from height or bicycle in 4 patients. Complications were noted in 5 patients, 3 with radial nerve injury, 2 with median nerve injury. As per Flynn Criteria 23 were excellent, 6 Good, 2 were fair and 1 remained poor. 2 Patients developed myositis ossificans and both had restriction of elbow flexion and extension and graded fair. 5 patients reported pin tract infection.
Conclusion: Closed reduction and percutaneous K-wire fixation is an effective treatment for displaced supracondylar fractures of Humerus in pediatric age group.
