• Mohammad Ayaz Khan
  • Alamzeb Khan
  • Awal Hakeem
  • Zahid Askar
  • Naeem Durrani
  • Mohammad Zaffar Durrani
  • Mohammad Idrees
  • Israr Ahmad


Background: Supracondylar fracture of humerus is the second most common fracture in childrenwhich account for 60–75% of all fractures around the elbow. There are various treatment modalitiesfor type-III fracture, i.e., closed reduction and casting, skeletal traction, close reduction andpercutaneous pinning and open reduction and internal fixation. This study was conducted to see theoutcome of open reduction and internal fixation after failed closed reduction. Methods: This studywas conducted in the Orthopaedics Departments of Khyber Teaching Hospital Peshawar and AyubTeaching Hospital Abbottabad from February 2007 to Nov 2007 on 30 children. Patients includedwere of either gender with age range from 5–12 years with displaced supracondylar fracture (typeIII) after failed closed reduction. All fractures were fixed with two cross K-wires by open reductionand internal fixation. The patients were assessed both clinically and radiologically and results weretabulated according to Flynn criteria. Results: Twenty-eight patients had excellent results while twohad good results according to Flynn criteria. None of the patients had either fair or poor result.Conclusion: Open reduction and internal fixation is a good and reliable method after failed closedreduction and gives stable fixation with anatomical alignment.Keywords: Type-III Supracondylar fracture, open reduction and internal fixation


Eliason EL. Dressing for supracondylar fractures of humerus.

JAMA 1924;82:1934–5

Wilson PD. Fractures and dislocation in the region of elbow.

Surg Gynecol Obstet 1933;56:335–59.

Cekanauskas E, Degliūte R, Kalesinskas RJ. Treatment for

supracondylar humerus fractures in children,according to

Gartland classification. Medicina 2003;39:379–83.

Henrikson B. Supracondylar fracture of humerus in children.

Acta chir Scand Suppl 1966;369:1–72.

Gillingham BL, Rang M. Advaces in children elbow fractures

(editorial). J Pediatrr Orthop 1995;15:419–21.

Shim JS, Lee YS. Treatment of completely displaced fracture of

the humerus in children by cross-fixation with three K-Wires. J

Pedtiatr Orthop 2002;22(1):12–6.

Gartland JJ. Management of supracondylar fracture of humerus

in children. Surg Gynecol Obstet 1959;109:145–54.

Davis RT, Gorczyca JT, Pugh K. Suprracondylar humerus

fractures in children. Comparison of operative treatment

methods. Clin Orthop Relat Res 2000;376:49–55.

Shim JS, Lee YS. Treatment of completely displaced

supracondylar fracture of humerus in children by cross-fixation

with three kirschner wires. J Pediatr Orthop 2002;22(1):12–6.

Lee SS, Mahar AT, Miesen D, Newton PO. Displaced pediatric

supraconular humerus fractures: Biomechanical analysis of

percutaneous pinning techniques. J Pediatr Orthop


Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay RM, Tolo VT.

Operative treatment of supracondylar fractures of humerus in

children. The consequences of pin placement. J Bone Joint Surg

Am. 2001;83:735–40.

Flynn JC. Mattews JG. Beriot RL. BUCD pinning of displaced

supracondylar fracture of humerus in children. J Bone Joint Surg


O, Hara IJ. Barlow JW. Clarke NM. Displaced supracondylar

fractures of the humerus in childrens. Audit changes practice. J

Bone Joint Surg Br 2000;82:204–10.

Mostafavi HR. Spero C. Cross pin fixation of displaced

supracondylar humerus fracture in children. Clin Orthop


Minkowitz B. Busch MT. Supracondylar fracture of humerus.

Current trends and controversies. Orthop Clin North Am


Ababneh M. Shannak A, Agabi S, Hadadi S.The treatment of

displaced supracondylar fractures of the humerus in children. A

comparison of three methods. Int Orthop 1998;22:263–5.

Umar M, DeSousa OP. Supracondylar fractures of humerus in

children. An analysis of different treatment modalities at the Aga

Khan University Hospital Karachi. Pakistan. Pak J Surg


Diri B, Tomak Y, Karaismailoglu TN. The treatment of displaced

fractures of the humerus in children (an evalution of three

different treatment methods). Ulus Trauma Derg 2003;9(1):62–9.




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