Background: The carrying angle is acute angle between median axis of the upper arm with fully extended and supinated forearm. It is important to know the carrying angles of both elbows in the evaluation of deformities around the joint which may guide the management protocol. Method: This cross-sectional study was conducted on120 children's in out-patient department at Mandya Institute of Medical Sciences, Mandya (Karnataka), India. Results: For the purpose of analysis two set of age groups were made. The groups were 5-12 years and 13-18 years. Carrying angle was more in females and on right side. Positive correlation was found between carrying angle with various parameters measured. Conclusion:The result of the study could be useful in the management of elbow displacement, fractures and surgical planning for elbow reconstruction.
BACKGROUND: Supracondylar fracture of humerus is the commonest injury around elbow in children. Management of displaced Supracondylar fracture of humerus is one of the most challenging one to prevent complications. It needs accurate anatomical reduction and internal fixation. Our prospective study has evaluated that surgical fixation in type III supracondylar fractures of humerus in children (gartland classification) gives more stable fixation, better anatomical reduction with minimal complication. MATERIALS & METHODS: In our series, 28 cases of supracondylar fractures of humerus treated by various methods [including conservative & operative methods] and followed up for a mean of 6 months with radiological & clinical evaluation. RESULTS: The results of study of 28 patients was evaluated according to Flynn's criteria, out of which 22 patients had TYPE III fracture.18 patients (82%) with type III fractures undergone surgical fixation with k wires, 12 patients (67%) had excellent results, 5 patients (28%) good results & 1 patient (5%) had poor result. 4 patients (18%) with type III treated conservatively, 1 patient (25%) had good results, 2 patients (50%) fair & 1 patient (25%) had poor result. 4 patients had type II fracture, 3 patients (75%) treated conservatively had excellent results,1 patient (25%) treated surgically had good result. 2 patients with TYPE I fracture treated conservatively had excellent results. CONCLUSIONS: Surgical fixation in type III supracondylar fractures of humerus in children gives more stable fixation, excellent functional and cosmetic results. The results of Conservative treatment in type III supracondylar fractures are poor. The results of Conservative treatment type I & type II supracondylar fractures are good.
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