Mehtab Pirwani, Abbas Memon, Faheem Memon.
Gartland’s Type III Supra Condylar Fracture of Humerus in Children Treated with Open Reduction and Internal Fixation with Cross K-Wire Fixation: A Prospective Study.
J Liaquat Uni Med Health Sci Jan ;14(01):33-7.

To evaluate the short term results of open reduction and internal fixation with cross k-wires in type III supracondylar fracture of Humerus in children in our setup. PATIENTS & METHODS: This prospective study was conducted at Department of Orthopaedic Surgery & Traumatology, Liaquat University of Medical & Health Sciences, Jamshoro from March 2012 to March 2014. Total forty-seven patients with type III supracondylar Fracture Humerus were evaluated in this series. All were treated with open reduction & internal fixation with cross k-wires. The children followed regularly and the cosmetic and functional results assessed according to the Flynn criteria. RESULTS: The mean age in our series was 7.4 years. There were 35 boys and 12 girls. The most common mode of injury 72.34% was fall during play. In 95.75% of our cases injury was extension type and in 4.25% flexion type. Grade I pin tract infection was noted in only 3 patients. 69% cases have excellent cosmetic and functional results, 22% were having good cosmetic and functional results according to Flynn Criteria. CONCLUSION: Open reduction and internal fixation with cross k-wires produce excellent to good results in Gartland type III supracondylar fracture especially in the areas where image intensifier facilities are limited.

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