Various Modalities for Fixation of Fracture Supracondylar Humerus in Pediatric Age Group
Background: The objective of the present study is to analyze & compare various modalities available for management of fracture supracondylar humerus in pediatric population.
Methods: The present prospective study was conducted in the department of Orthopaedics and Traumatology Ananta institute of medical sciences and research centre, Rajsamand from December 2015 to April 2018.
Results: In our study we found that in Grade II and III supracondylar fracture of humerus in children closed reduction is difficult to achieve and is complicated by slippage of reduction leading to fixation with k-wires in early presentation or malunion deformity in cases of late presentation and vascular comprise if excessive flexion is done to hold reduction. While Grade I fracture can effectively be managed with closed reduction & cast with caution of maintaining reduction.
Conclusions: In this study we found that results of displaced supracondylar fracture of humerus presenting can be effectively best treated by closed reduction with percutaneous pinning because patients who were treated conservatively developed deformities more than closed reduction and internal fixation group. Patients with cross k-wire fixation from either condyle has better outcome as compared to lateral entry cross k-wire fixation.
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