Zulfiqar Soomro, Zamir Soomro, Saeed Samo.
Management of Supracondylar fractures of humerus in children at Nawabshah.
Pak J Surg Jan ;22(4):219-21.

Objective: To assess the outcome of the management of Supracondylar Humeral Fractures in children. Design & Duration: Retrospective study from Jan. 2002 to Dec. 2004. Setting: Department of Orthopaedics, Peoples Medical College Hospital, Nawabshah. Patients: Out of 102 children (<12 years) who presented with the Supracondylar fracture of Humerus, only 90 fulfilled the criteria and were included in the study. Methodology: The data of the above mentioned children was collected and analyzed. Results: Most (94%) of the fractures were extension injuries - Gartland Type-II (40%) and Type-III (54%). Five cases had open fractures. Of the 90 fractures, 78 (87%) were operated within 24 hours and nine within 72 hours, whereas the remaining three were operated within fifteen days of the injury, due to their late arrival in hospital from remote areas. Nevertheless, all cases were operated within three days of their admission. All fractures required open reduction and internal fixation with two crossed K-wires; the facility of the image intensifier being not available. Conclusion: The results of our study are good as there was a low rate of long term deformity, due to quicker surgery and accurate reduction.

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