OUTCOME OF CLOSED REDUCTION AND CASTING IN DISPLACED SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN
AbstractBackground: Supracondylar fracture of humerus in children is most common in first decade of life and needs proper management to prevent complications like cubitus varus, elbow stiffness and compartment syndrome. There are various treatment modalities i.e. traction, closed reduction and casting, open reduction and internal fixation and percutaneous pinning. Purpose of the study was to know the outcome of closed reduction and casting in displaced supracondylar fracture of humerus in children while comparing the results with published literature. Methods: Study was conducted at the Orthopaedics unit of Lady Reading Hospital Peshawar from January 2002 to December 2002 and 25 patients at random, with age range of 04 – 12 years with displaced supracondylar fracture of humerus were treated with closed reduction and casting. Results: Based on assessment through Flynn’s criteria, results were excellent in 04 patients (16 %), good in 11 (44 %), fair in 03 (12 %) and poor in 07 patients (28 %). Conclusion: Good results can be obtained in displaced supracondylar fracture Gartland type II of humerus in children with closed reduction and casting while the results with Gartland type III fracture were not satisfactory.Keywords: Supracondylar fractures, humerus, Closed reduction
Eliason EL. Dressing for supracondylar fracture of the humerus. JAMA 1924 ; 82 : 1934-5.
Wilson PD. Fracture and dislocation in the region of elbow. Surg Gynecol Obstet 1933;56 : 335-59.
Henrikson B. Supracondylar fracture of humerus in children. Acta Chir Scand (suppl) 1966;36:9-12.
Abraham E, Powers T. Excremental hyperextension of supracondylar fracture in monkies. Clin Ortho 1982;171: 309–18.
Adam F. Genuine works of Hippocrates (translated from Greek), Baltimor, William & Wilkin 1939.
Gillingham BL, Rang M. Advances in children elbow fractures (Editorial) J Paediat orthop 1995;15: 419-21.
Cotton FJ. Elbow fractures in children. Ann Surg 1902;35:252 – 69.
Mc Intyre W. supracondylar fracture of humerus. In Letts, R.M (ed), management of paediatric fractures; New York, Churchill Livingstone. 1994;167-91.
Gartland JJ. Management of supracondylar fracture of the humerus in children. Surg Gynaecol Obstet 1959;109:145-54.
Vahvanen V, Aalto K. Supracondylar fracture of the humerus, Acta Orthop Scand 1978;49:225 – 33.
Clark KC. Positioning in radiography Chicago, Ilford Ltd 1973 .
Flynn’s JC, Methews JG, Benoit RL. Blind pinning of displaced supracondylar fracture of humerus in children. JBJS 1974 ;56 A : 263 – 73.
Minkwitz B, Busch MT. Supracondylar fracture of Humerus, current trends and controversies. Orthop Clin North Am 1994 ; 25:581– 94.
Hadlow AT, Deuane P, Nicol RO. A selective treatment approach to supracondylar fracture of humerus in children. J Paediat orthop 1996;16:104-6.
Celiker O, Pestilci FI, Tuzuner M. Supracondylar fracture of humerus in children: analysis of results in 142 patients. J Orthop trauma 1990;4:265-9.
Cekanauskas E, Degliute R, Kalesinskas RJ. Treatment of supracondylar fracture in children according to Gartland classification. Medicina (Kaunas) 2003; 39: 379 – 83.
Diri B, Tomak Y, Karaismailoglu TN. The treatment of displaced fractures of the humerus in children (an evaluation of three different treatment methods). ULUS trauma Derg 2003;9 :62 – 9.
Oh CW, Park BC, Kim PT, Park IH, Kyung HS, Ihn JC. Completely displaced supracondylar humerus fractures in children: results of open reduction versus closed reduction. J Orthop SCI 2003 ; 8 : 137 – 41.