Volume : VII, Issue : XII, December - 2017

DISPLACED SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN – DELAYED PRESENTATION AND ITS MANAGEMENT

Dr. C. Sanjeevaiah

Abstract :

EPIDEMIOLOGY : Supracondylar  fractures of the humerus account for 3% of fractures in children and it also account for 60% of all fractures around the pediatric elbow.

OBJECTIVE :–  The purpose of the study was to evaluate the clinical , radilogical and functional out come following closed reduction and percutaneous pinning in displaced supracondylar fractures of  humerus in children with delayed presentation in RAJIV GANDHI INSTITUTE OF MEDICAL SCIENCES KADAPA.ANDHRA PRADESH.

 

METHODS:– Reviewed the functional and radiological results of closed reduction and percutaneous pinning using crossed k wires in 24 patients with displaced extension type supracondylar fractures of humerus ofGartland type III with delayed presentation. The average age of the patients was 8 years ranging from 5–12 years .

 

RESULTS:– Closed reduction and percutaneous pinning was successful in 84 % of the patients the mean follow up period was 12 months .The Baumanns angle and metaphysio – diaphyseal angle was restored with in 5 degrees of the unaffected side in all patients .Careful use of passing the k wire over the medial epicondyle in patients with severe swelling by mini open technic helped us to avoid ulnar nerve injury . Using the FLYNN’S Criteria 20 patients had good to excellent result .Two patients had mild myositis and the both has satisfactory result.Two patients had mild cubitus varus which was neglesible and need not be interfered.

 

CONCLUSION:– Closed reduction and percutaneous pinning of displaced supracondylar fractures of humerus in children is safe and effective method 

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.C.Sanjeevaiah, DISPLACED SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN‾DELAYED PRESENTATION AND ITS MANAGEMENT, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017


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