Study of type-III supracondylar humerus fractures in children treated by closed reduction with percutaneous crossed pin fixation

Abstract

Aims & Objective: To achieve anatomical reduction, stable fixation and to restore optimum functions of the elbow. Introduction: Supracondylar fractures of the humerus in children are the most common serious elbow injuries in childhood among which, Gartland's extension type III is the commonest. Type III fractures and its treatment are fraught with many complications. Closed reduction and percutaneous crossed pin fixation of these fractures has shown improved results. Methods: Twenty eight cases of Gartland's Type III supracondylar humeral fractures were treated with closed reduction and percutaneous crossed Kirschner wire fixation under image intensifier. The cases were followed up for an average period of 6 months. Results: All fractures healed without loss of reduction. Flynn's criteria were used to assess the outcome. 21 cases showed excellent, 6 cases showed good and 1 case showed fair results. The average duration of pin fixation was 25 days (range, 21-30 days). There were no treatment related neurovascular complications. Conclusion: Closed reduction with percutaneous crossed pin fixation is a safe and effective treatment for Type III supracondylar humeral fractures with several advantages.

Keywords

• Type III supracondylar fractures
• Closed reduction
• Percutaneous crossed pin fixation