IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-8-20171 Original Research Paper Open reduction percutaneous k–wire fixation of Displaced Supracondylar Fractures of Humerus in Children Janak Rathod Dr. August 2019 8 8 01 02 ABSTRACT

In our clinical study ten cases of displaced Supracondylar fractures of humerus in children of 3 to 14 years age group were included after judgment sampling during NOV’2013 to FEB’2015. As these fractures present with severe swelling around elbow and impending injury to neurovascular structures at elbow, the main objective is to avoid dreaded complications like VIC, injury to nerves, myositis ossificans or rotational deformities like cubitus varus or valgus through proper management by suitable method. These fractures need to be managed properly by decompression of the soft tissues by evacuating the hematoma and achieving anatomical reduction with stable fixation with K– wires preferably through posterior triceps splitting approach and lateral divergent or bilateral crossed pins configuration. This method is the choice for TYPE– III displaced supracondylar fractures of humerus in children. The results were assessed clinically and radiologically and compared with that of uninjured elbow. The outcome is satisfactory in 80% of patients after a median follow up of 3 to 14 months. Thus, in this study it can be considered that for displaced supracondylar fracture of humerus in children, the treatment of choice is by open reduction and internal fixation with K–wires, to get a good functional and cosmetically better elbow.