A prospective study of displaced supracondylar fractures of the humerus in children treated with open reduction and internal fixation with k-wires

K. Raja Ratanam, Jhatoth Dhoom Singh

Abstract


Background and Objectives: Supracondylar fractures of the humerus were the most frequent occurrence, accounting for about 65.4% of all fractures around the elbow in infants. Displaced supracondylar humeral fractures need a high degree of respect and difficulty to be treated, as they require correct anatomical
reduction and internal fixation to avoid complications. Thus, in this research, we documented the effects of open reduction and internal fixation with K-wires in the displaced (Gartland type III) supracondylar fracture humerus in infants.
Materials and Methods: The prospective study of 25 cases of displaced (Gartland type III) supracondylar fractures treated with open reduction and internal fixation with K-wires were examined at our institution between September 2019 and July 2020 and followed for an average of 6 months. 
Results: All Gartland Type III fractures were closed with an average age of 6.3 years in our study of 25 patients, 13 patients had slip fractures while playing, 18 patients had left-hand fractures, and 16 patients had posteromedial displacement. The fracturing of the distal end radius was associated with 2 patients. The majority of patients underwent surgery on the 2nd day and were home on the 3rd postoperative day. 16 had a loss of motion range of 0-5 ◦; 18 had a loss of motion angle of 0-5 ◦. 3 patients had inflammation of the
superficial pin tract, 2 had traumatic median nerve paralysis, 2 had K-wire migration, 1 had a deformity of the cubitus varus and 1 had >15 loss of motion.
Conclusion: This research shows that anatomical reduction, stable fixation with minimal complications has enhanced open reduction and internal fixation with K-wires. Therefore, the present analysis reveals an open reduction, and K-wire internal fixing is most generally known as an option for the reconstruction of
infant supracondylar humerus fractures.

 


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