A prospective study of surgical management of supracondylar fracture of humerus in children using K-wire fixation

Abstract

BACKGROUND AND OBJECTIVES: Supracondylar fractures of the humerus are the most common type of elbow fracture in children. Severely displaced supracondylar fractures of the distal humerus in children are a challenging problem. Many treatment methods have been described for the treatment of displaced supracondylar fracture of the humerus; however, it has not been reached a consensus for the choice of treatment. The purpose of this study is to clinically asses the outcome of surgically managed supracondylar fracture of humerus using K-wire fixation. MATERIALS AND METHODS: Thirty children of supracondylar fracture of humerus treated between June 2018 and February 2020 were included. Out of a total of 30 cases, 24 were treated with closed reduction and internal fixation by K-wire and six were treated with open reduction and internal fixation with K-wire. The average age was 7.1 years. We evaluated the results using Flynn’s criteria. RESULT: According to the results of the study, we obtained 21 excellent, four good, four fair, and one poor results. CONCLUSION: The data in the current study show that surgically managed displaced supracondylar fracture of humerus in children using K-wire fixation gives excellent outcomes both radiologically and functionally and thus can be deemed as a treatment of choice for the same.