To Evaluate Clinico-Radiological and Functional Outcome of Early Mobilization After Close Reduction and Percutaneous Lateral K-Wires Fixation in Displaced Fracture of Supracondylar Humerus in Children

Abstract

BACKGROUND: Supracondylar fracture is one of the commonest fracture in children account for 60% of all fractures around the elbow joint and represent approximately 3% of all fractures in children. ToAIM AND OBJECTIVES: evaluate clinico-radiological and functional outcome of early mobilization after closed reduction and percutaneous lateral k-wires xation in displaced fracture of Supracondylar humerus in children by using by Flynn's criteria. The present prospectiveMATERIAL AND METHODS: study was conducted on 34 patients from February 2020 to September 2021 who had displaced supracondylar humerus fracture. MeanResults: age of the study population was 6.8 years. A total of 20 were male patients and 14 were female. Majority of patients i.e. 26.4% got injuries due to fall from height. Maximum number of patients had type III Gartland fracture i.e. 20 followed by Type II i.e. 14 patients. Mean duration of trauma – surgery interval was 2.4 days. 50% of patients k-wire was removed at 3 weeks and rest 50% patients at 4 weeks. Final follow up at 6 months showed a total of 28 patients had loss of exion <5 degree followed by 6 patients who had loss of exion between 6-10 degree. Similarly, 31 patients had loss of extension<5 degree followed by 3 patients who had loss of extension 6-10 degree. After 6 months, we observed only 30 patients with <5 degree, 4 patients with 6-10 degree and none with >10 degree loss of carrying angle. In 2 patients, we found supercial pin site infection and in none of the patients we found any loss of reduction, delayed union, non-union, malunion and arthobrosis. A total of 28 patients had excellent results according to Flynn's criteria and 6 patients had good results. It is concluded that closed reduction andCONCLUSION: percutaneous lateral pinning is a sound and effective modality for the treatment of displaced supracondylar fractures of humerus.