• 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


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