SUPRACONDYLAR HUMERUS FRACTURES

OUTCOME OF OPEN REDUCTION AND PERCUTANEOUS CROSSED PIN FIXATION

Abstract

Displaced Supracondylar fractures of the humerus in children are common injuries treated by orthopaedic surgeons. Objectives: To evaluate the role of open reduction and percutaneous crossed pin fixation in displayed supracondylar fractures and to design a simple and effective protocol for the treatment of these fractures. Design: Prospective. Setting: Independent Medical College Independent University Hospital Faisalabad. Period: From January 2009 to June 2010. Method: Fifty six cases with grade II and grade III Gartland Supracondylar humeral fractures were treated with open reduction through postereomedial approach and percutaneous crossed pin fixation with Kirschner wire and followed up for a minimum period of 1 year. Results: Patients were assessed on the basis of Flynn’s criteria there were 41 Excellent and12 good results Conclusions: It is concluded that open reduction and percutaneous crossed pin fixation is a sound and effective treatment for displayed supracondylar fractures with several advantages but requires careful judgment on the part of surgeon to avoid complications.