Type-III supracondylar humerus fracture: functional outcome of open reduction and internal fixation after failed closed reduction

Authors

  • Shobha H. P. Department of Orthopaedics, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Vishwas K. Department of Orthopaedics, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Lingaraju K. Department of Orthopaedics, Mysore Medical College and Research Institute, Mysore, Karnataka, India
  • Giridhar Kumar Department of Orthopaedics, Mysore Medical College and Research Institute, Mysore, Karnataka, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205561

Keywords:

Supracondylar, Humerus, Open reduction, K wiring

Abstract

Background: To evaluate results of open reduction and internal fixation with Criss cross k-wires after failed closed reduction in Gartland type III Supracondylar fracture of humerus in our institution.

Methods: This prospective study was conducted at the Krishna Rajendra hospital affiliated to the orthopaedic department of Mysore medical college and research institute from December 2018 to December 2019. Twenty-five patients of type-III fracture of supracondylar humerus were included within the study. Consent was obtained from all patients. Under anaesthesia, closed reduction was attempted first. When 2-3 attempts of closed reduction failed, an open reduction and internal fixation with cross k-wires was performed. Fortnightly follow up was applied for the first 8 weeks then monthly for the next 4 months. The clinical outcome was evaluated using Flynn criteria.

Results: Out of 25 patients, 16 were male and 9 were female. Left side was involved in 17 patients and right side in 8. Mean age was 6.9 years with age range from 3 to 12 years. Excellent or good results were obtained in 23 (92%) patients and fair or poor in 2 (8%). 

Conclusions: We conclude that these fractures must be managed aggressively, by a specialised surgeon. Open reduction and internal fixation of severely displaced supracondylar fractures of the humerus is a safe and effective method when a satisfactory reduction can't be obtained by 2-3 attempts on closed method.

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Published

2020-12-23

How to Cite

P., S. H., K., V., K., L., & Kumar, G. (2020). Type-III supracondylar humerus fracture: functional outcome of open reduction and internal fixation after failed closed reduction. International Journal of Research in Orthopaedics, 7(1), 62–65. https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20205561

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Original Research Articles