COMPARATIVE STUDY OF SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN TREATED WITH CLOSED REDUCTION AND CLOSE REDUCTION WITH K –WIRE FIXATION

Dr. Vishal Shinde MBBS MS, *Dr. Virendra Sharma MBBS MD, Dr. Rakesh Misra MBBS MS and Dr. Kiran Petkar MBBS MS Mch.

ABSTRACT

Background: The objective of the present study is to analyse deformity and function of displaced supracondylar fracture of humerus in children treated by closed reduction with slab application and closed reduction with percutaneous pinning. Material and Method: The present prospective study was conducted in the department of Orthopaedics and Traumatology Ananta institute of medical sciences and research centre, Rajsamand. In this study 34 children of age between 2 – 12 years were included having fracture supracondylar humerus. Fracture is classified according to Gartland classification and according to displacement of the distal segment(flexion on extension). On the basis of their fracture pattern fracture treated accordingly i.e by closed reduction and closed reduction with pinning and results were evaluated. GARTLAND classification: (1959) classified the supracondylar fracture of the humerus in following types- Type I: Undisplaced fracture Type II: Displace fracture with intact posterior cortex Type III: Displace fracture with no cortical contact. Conclusion and results: In our study we found that in Grade II and III supracondylar fracture of humerus in children closed reduction is difficult to achieve and is complicated by slippage of reduction leading to malunion deformity and vascular comprise is excessive flexion is done to hold reduction. In this study we found that results of displaced supracondylar fracture of humerus presenting can be effectively best treated by closed reduction with percutaneous pinning because patients who were treated conservatively developed deformities more than closed reduction and internal fixation group.

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