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Displaced supracondylar fracture of the humerus in children : A modified technique of closed reduction

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Author(s): Gupta Kartikey | Gupta Manik | Kutty Satish

Journal: Indian Journal of Orthopaedics
ISSN 0019-5413

Volume: 40;
Issue: 2;
Start page: 108;
Date: 2006;
Original page

Keywords: Supracondylar fracture of the humerus; Two crossed pins.

ABSTRACT
Background: Reduction of supracondylar fracture in children is technically difficult and therefore numerous methods have been described in the past . Method: We present a modified technique of reduction of grade three extension type supracondylar fracture of the humerus in children . All fracture except one were stabilized with two crossed pins after reduction under image intensifier. Early mobilization at 3 to 4 weeks with the pins in situ and pin removal at 4-5 weeks produced good results . Results: Only three out of 38 patients treated by this method had poor results. No neurovascular complications were found in the patients treated by this technique, and indeed we found that this method worked well even in those cases who presented late or had a gross swelling over the elbow at the time of presentation. At the end of three weeks, Baumann′s angle was found to range between 72-84 degrees. Conclusion: The authors found this method to be effective and without any complications in the treatment of the displaced extension type supracondylar fractures of the humerus.

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