Outcome of closed reduction and Percutaeous fixation of k wire in the management of supracondylar humerus fractures in children at pravara rural hospital

Abstract

Introduction: Supracondylar humerus fractures in children is the second most common fracture in children accounting to 16.6% due to fall on out stretched hand. At present, the preferred and most widely practiced method to treat Supracondylar humerus fracture in children is by k wire fixation by closed reduction in Garland's type 2 and 3. Method: 20 patients (4 female and 16 male) patients aged 3-15 years with supracondylar humerus fractures treated with percutaneous k wire fixation were included in the study. Result: Result was calculated based on Flynn criteria and was found to be excellent in 70% patients, good in 20% patients and fair in 5%patients and poor results were obtained in 5% patients. Conclusion:The incidence of supracondylar humerus fractures in children is seen in a higher in male children as compared to females as males have higher exposure to the outdoors. Falling on an outstretched hand is the most common method of injury and resulted in extension type fractures.The management of such a fracture is difficult because of maintance of reduction of fracture and preserving neurovascular status of the limb. The main goal of treatment was to recover normal range of movements with restored anatomy of distal humerus, which was achieved with k wire fixation. Anatomical reduction and k wire pinning in the management of supracondylar humerus fractures in children provide good results and provide full range of movement with relatively fewer complications.