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- Title
Supracondylar displaced fractures of elbow in children treated with closed reduction and percutaneous K-wire fixation.
- Authors
Hakeem, Awal; Ullah, Sana; Shah banori, Syed Hamad Ali; Ahmed, Israr; khan, Mohammad Arif; Ali, Abid
- Abstract
Objective: The objective of this study was to evaluate results of closed reduction and percutaneous pinning (CRPCP) in pediatric patients with extension-type supracondylar elbow fractures. Materials and methods: 230 patients with extension type-II and type-III supracondylar fracture of the elbow were included in the study. All patients were treated between January 2008 to December 2016 by closed reduction and percutaneous cross k-wire fixation. Results: 230 patients were included in the study. There were 160 boys (69%) and 70 girls (31%). Mean age of the patients was 6.0 years (2.5 years-12 years). The right side elbow was involved in 74(32%) patients while left side was involved in 156(68%) patients. All the fractures were fixed by two crossed K-wires after close reduction. According to Flynn's criteria, 162(70%) patients had excellent results, 55(24%) patients had good results, 09(04%) patients had fair results and 04(02%) patients had poor results. Pin-tract infections were seen in 16(07%) patients. In 13 patients infection resolved after removal of pins while in 03 patients infection resolved with oral antibiotics. 5 patients had cubitus varus deformity at the end of the treatment. Temporary ulnar nerve deficit occurred in 11(5%) patients who recovered completely in 12 weeks time. Mean range of motion (ROM) of the elbow was 15° - 125° degrees after one and half month post-operatively. Elbow ROM was equal to that of normal side (0° - 140° degrees) after 12 weeks of operation. At last follow-up carrying angle of affected elbow was in range of 8°-10° degrees except in 5 patients who had cubitus varus deformity of the elbow. Conclusion: Closed reduction and percutaneous crossed K-wire fixation is an easy and effective operative treatment in supracondylar extension type II & III fracture of the elbow in pediatric patients, with a low complication rate.
- Subjects
ELBOW fractures; PEDIATRICS; ELBOW surgery; ELBOW injuries; ELBOW diseases
- Publication
Pakistan Journal of Surgery, 2018, Vol 34, Issue 1, p58
- ISSN
0258-8552
- Publication type
Article