A comparative analysis of functional and radiological outcome between surgically and conservatively managed type 2 supracondylar humerus fracture: Prospective analysis in 121 patients

Bishnu Prasad Patro; Saurav Narayan Nanda; Doki Sunil Kumar; Shakti Swaroop

Volume : IX, Issue : VIII, August - 2019

A comparative analysis of functional and radiological outcome between surgically and conservatively managed type 2 supracondylar humerus fracture: Prospective analysis in 121 patients

Bishnu Prasad Patro, Saurav Narayan Nanda, Doki Sunil Kumar, Shakti Swaroop

Abstract :

Introduction:– supracondylar humerus fracture is one of the common feature in paediatric age group. Although there are clear cut guidelines for management of type– 1 and type– 3 supracondylar humerus fracture, literature is still laking for type–2 supracondylar humerus fracture. here we have conducted a study in our tertiary care hospital and try to a formulate optimal management approach in type– 2 supracondylar humerus fracture cases. Materials and methods:– It was a retrospective study, comprising total 121 patients in a tertiary care hospital. Out of 121 patients , 73 patients were managed by conservative method with closed reduction and plaster cast in group–1 and 48 patients were managed with operative intervention using closed reduction and K wire in group–2.The outcome measures were assessed at 6 month by final radiograph bony alignment in both sagittal and coronal plain, rotational malallignment by clinical examination, range of motion in elbow joint, pain as per VAS score and complications in the form of neuro–vascular injury, infection, avascular necrosis of trochlea, iatrogenic fracture and complication related to anaesthesia. Results: The functional and radiological outcome in both the groups are comparable. Complications rate in the form of ulnar nerve neuropraxia was found to be significant in group–2 in comparison with group–1. Conclusion:– The conservative method of treatment has good functional and radiological outcome as that of operative method. all patients can be given a conservative trial with maintenance of reduction with plaster cast before planning operative intervention.