Evaluation of treatment result of Displaced Supracondylar Fracture of Humorous in Children treated by open versus closed reduction with K-wire fxation

DOI: https://doi.org/10.47648/zhswmcj.2023.v0501.02

Md. Johurul Hoque1 , Md. Rezaul Karim2 , Munjur Ahmed Jabed3 , Ananya Chowdhury4

Abstract

Background: Displaced supracondylar fracture of humerus in Children and both close reduction and percutaneous K-wire reduction are common practices; it is necessary to explore which procedure is mostly suited for a country which has scarce resources.
Methodology: This is a Comparative Prospective observational study (Case series) designed to assess the success rate of closed reduction and Percutaneouis K-wire fixation with the help of C. arm in the early management of displaced supracondylar fracture of humerus in Children from June 2017 to December-2021 in Sikder Women's Medical College and Hospital.
Result: A total of 30 patients of displaced supracondylar fracture of humerus presenting between ages 3-12 years, 30 patients were subjected to two lateral K-wire fixation and medial - lateral cross K-wire fixation. Informed written consent was taken from patient's guardian. Regular follow up was targeted for at least 9 months. Results was evaluated according to Flynn's grading. Mean age was 6.85+/-2.37 years, number of patients was 30, left side are more affected. Males are more affected 22 (73%) than Females 8(27%). Average Hospital stay period was 1.26 days, mean follow up duration was 4.93 +/-0.739 months. There were six excellent (20%); Eighteen good (60%), three (10%) fair and three (10%) poor result's according to Flynn's grading. Complications included Four (13.33%) case of pin tract infraction, Four (13.33%) cases of Fracture blister, one (3.33%) case of ulnar nerve plasy, Two (6.66%) cases of inadequate pin Fixation at first attempt.
Conclusion: Displaced supracondylar fracture with swelling, closed reduction and percutaneous K-wire fixation is a better method of treatment with less chance of iatrogenic nerve injury.

Keywords: Closed reduction, Percutaneouis K-wire fixation, supracondylar fracture of humerus


  1. Associate Professor, Department of Orthopedics

    Zainul Haque Sikder Women's Medical College & Hospital, Dhaka

  2. Associate Professor

    National Institute of Traumatology & Orthopedic Rehabilitation (NITOR), Dhaka

  3. Indoor Medical Officer, Orthopedics

    Zainul Haque Sikder Women's Medical College & Hospital, Dhaka

  4. Indoor Medical Officer, Orthopedics

    Zainul Haque Sikder Women's Medical College & Hospital, Dhaka


Volume 5, Number 1, January 2023
Page: 10-12