Abstract
STUDY THE MANAGEMENT OF SUPRACONDYLAR FRACTURE HUMERUS IN CHILDREN WITH KIRSCHNER WIRE FIXATION

Dr. Shakti Swarup Panda* and Dr. Vikash Kumar

ABSTRACT

Supracondylar fractures, the most common elbow injury in children, usually affecting the thin portion of humerus through olecranon fossa or just above the fossa through the metaphysis. Considering the high frequency and the complications that follows, the fracture is managed competently to secure an excellent result and to avoid or minimize the complications. Aims and Objectives: The present study was done to restore and maintain the functional anatomy of distal end of humerus with K wire fixation and restore the movement as early as possible and subsequently assess the result of the surgery with reference to restoration of function and deformity. Materials and method: The present study was conducted from May 2017 to Apr 2018 on 45 cases of fresh supracondylar fractures in children, who underwent open or closed reduction with K-wire fixation. Two cases had neurovascular deficit (compartment syndrome) and all were managed within 48 hours of presentation to the hospital. The average period of union was 4.08 weeks. Results: Based on Flynn’s criteria the result were, 32(71.1%) patients obtained excellent results, 9(20%) had good results, 3(6.6%) had fair result and 1(2.2%) of them had unsatisfactory results. Conclusion: This study shows that anatomical reduction and K-wire pinning in the management of supracondylar fractures provides a convenient, cost effective modality with good results and full range of movement with relatively fewer complications.

Keywords: Supracondylar fracture, K wire, Flynn’s criteria.


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