Muhammad Imran Khan, Muhammad Saqib, Muhammad Ayaz Khan.
Outcome of Open Reduction & Internal Fixation in Displaced Supracondylar Humeral Fractures in Children.
Ophthalmol Update Jan ;12(3):230-2.

Aim: This prospective study was conducted to know the outcome of open reduction and internal fixation in the management of displaced supracondylar fracture of humerus in children. Settings and Designs: Prospective study. Materials and Methods: Fifty patients with displaced supracondylar fractures admitted between May 2012 and November 2013 were recruited into the study. All patients were operated under general anesthesia within 24 h after trauma. Results were analyzed using Flynn?s criteria. All patients were followed up to 3 months post-operatively. Results: Fifty displaced supracondylar fractures of humerus, aged between 5 year and 12 years, were treated using open reduction and (K) wire fixation. Above elbow plaster of paris back slab was applied in all cases for at least 3 weeks. The slab was removed at 3 weeks and the K-wires were removed after 6 weeks and elbow range of motion exercise was started. 92% had excellent, 8% good, 0% fair and 0 had poor results at 12 th weeks. There was no iatrogenic neurological injury either for the ulnar or for the radial nerves. Only one patient had ulnar nerve palsy which improved after wire removal after 3 months. 3 patients developed superficial pin tract infection postoperatively and were treated conservatively with good healing and no long-term sequelae. Conclusion: Open reduction and internal fixation with cross pinning proved an efficient, reliable, and safe method in the treatment of displaced supracondylar fractures of the humerus in children.

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