A comparative prospective study of the results of closed reduction and percutaneous kirschner wire fixation under image intensifier control of displaced supracondylar fracture of humerus in Children

Dr. Ashok Singhvi; Dr. Hemant Jain; Dr. Nitin Goyal

Volume : VII, Issue : I, January - 2018

A comparative prospective study of the results of closed reduction and percutaneous kirschner wire fixation under image intensifier control of displaced supracondylar fracture of humerus in Children

Dr. Ashok Singhvi, Dr. Hemant Jain, Dr. Nitin Goyal

Abstract :

INTRODUCTION:– This study was conducted to assess the results of closed reduction and percutaneous kirschner wire fixation under image intensifier control of displaced supracondylar fracture of humerus in Children.

METHOD:– In this prospective study 40 cases with supracondylar humerus fracture treated with closed reduction(25 cases) or fixation with Kirschner wires under image intensifier(15cases) and evaluated clinically and radiologically. The assessment of anatomical and functional outcome was made according to Mitchell and Adams criteria.

RESULT:– In our study 40 cases were studied. The age of patient ranged from 6 to 10 years. Male to female ratio was 4:1.Maximum cases were extension type(95%). The assessment of anatomical and functional outcome was made according to Mitchell and Adams criteria. 5 cases (20%) in closed reduction and 9 cases (60%) in fixation with k wire were rated as excellent, 10 cases (40%) rated as good, 10 cases (40%) was rated as poor in closed reduction and 4 case(26.6%) was rated as good and 2 cases (13.4%)was rated as poor in fixation with k wire.

CONCLUSION:– We concluded that Closed reduction and plaster of paris splinting should be reserved for minimally displaced fractures. Further attempts at closed reduction should be made, as repeated manipulations increasers� incidence of myositis ossifications and residual stiffness.In all other cases, closed reduction and fixation with Kirschner wires under image intensifier control should be attempted