Management of supracondylar fractures of humerus by open reduction versus closed reduction in a tertiary hospital : A comparative study.

Dr Ajai Kumar Priyadarshi, Dr Pradeep Chaudhary

Abstract


Background: Supracondylar fracture of humerus is one of the commonest injury about the elbow in children. Anatomical reductionis required to prevent complications and improve cosmetic appearance. Objectives:To compare the results of the closed reduction and open reduction of the supracondylar fractures of humerusin children.Materials and Methods:The study was done in a tertiary care hospital of Lucknow with cases of supracondylar fractures in children of age group 5–15 years whovisited orthopedic outpatient department and were confirmed with X-ray. They were divided randomly into two groups.Group I children were treated with open reduction and internal fixation, and group II cases were treated with closedreduction. Both the groups were followed up for 6 months and evaluated with X-rays. The results were expressed in meanand percentage.Results and Observations:All the fractures were found to be united clinically and radiologically when X-rays were taken at 5 weeks in group Iand at 6 weeks in group II. Only 4% cases in group I and 40% cases in group II resulted in cubitusvarus deformity asmeasured by the carrying angle. Only 20% cases in group I and 35% cases in group II showed unsatisfactory results.Conclusion:Open reduction and internal fixation give more stable fixation and better anatomical reduction with negligiblecomplication. Treatment from untrained doctors of supracondylar fracture humerus should be discouraged owing to availability ofsurgical techniques giving excellent results.


Keywords


Baumann’s angle, children, cubitusvarus, complication, internal fixation

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References


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