Journal of AdvancedMedical and Dental Sciences Research

Background: Supracondylar fractures of the humerus represent a significant burden of injuries in children, accounting for 12-17% of all paediatric fractures. The present study was conducted to evaluate outcome of supracondylar fracture of humerus managed with closed reduction and percutaneous pinning. Materials & Methods: 85 cases of supracondylar fracture of humerus were treated with closed reduction and percutaneous pinning. Gartland grading, time between injury and surgery and outcome of the treatment was recorded. Results: There were 5 and 6 cases with excellent and good results with <12 hours of injury, 12-24 hours injury showed 8, 19, 2 and 2 cases with excellent, good, fair and poor outcome respectively, 24-48 hours showed 6, 22, 4 and 1 case with excellent, good, fair and poor outcome respectively and 48-72 hours had 5, 4 and 2 cases with good and fair results. Gartland Grade II was seen in 28 cases which showed excellent, good results in 4, 24 outcome respectively and grade III in 8, 21, 23 and 5 cases with excellent, good, fair and poor outcome respectively. The difference was significant (P< 0.05). Conclusion: Closed reduction and percutaneous pinning with K-wires and lateral-trans-olecranon wire techniques provide stable fixation in supracondylar fracture of humerus in children. Key words: Humerus fracture, K-wires, Percutaneous pinning.