A Different Method of Pinning of Displaced Extension type Supracondylar Fracture of Humerus in Children

Description: A new /different method of pinning of the displaced extension type supracondylar fractures of the humerus in children is presented. Here two pairs of K wires are used. The fracture is reduced under C- arm image intensifier control and then two K wires are passed through lateral epicondyle and holding the reduction two more wires are passed from the lateral supra-condylar ridge obliquely downwards and inwards across the fracture site into the medial epicondyle. Thirty cases, thus treated, are presented here. Mean follow up for 26 cases was 28 months. Four cases were lost to follow up .At the final follow up ,using Flynn's overall modified classification, the clinical result was considered to be excellent in 19 (73%) patients, good in 5 (19.23%) and poor in 2 (7.69%) patients. The protocol described here resulted in good to excellent results in 24/26 cases (92.30%) thus proving its usefulness in displaced extension type supracondylar fractures in children.
Ram Krishan Arora JK Science Vol. 6 No. 1, January-March 2004 Full Text