Evaluation of Gartland Type-III Closed Supracondylar Fracture of Humerus in Children Treated by Lateral Percutaneous K-Wires under C-Arm Guidance

Authors

  • Md Insanul Alam Assistant Professor (cc), Department of Orthopedics, Medical College for Women & Hospital, Uttara, Dhaka
  • Sheikh Firoj Kabir Principal & Head, Department of Surgery, Medical College for Women & Hospital, Uttara, Dhaka
  • Md Faridul Islam Registrar, Department of Orthopedics, Abdul Malek Ukil Medical College, Noakhali
  • Md Ismail Hossain Junior Consultant, 250 beded Distric Hospital, Chapainawabganj
  • Md Omar Faruque Junior Consultant, Department of Orthopedics, NITOR, Dhaka
  • Hosne Ara Junior Consultant, Department of Gynaecology & Obstetrics, 250 Bed TB Hospital, Shyamoli, Dhaka
  • Md Rezaul Alam Assistant Professor (cc), Department of Surgery, Medical College for Women & Hospital, Uttara, Dhaka

DOI:

https://doi.org/10.3329/medtoday.v33i2.56060

Keywords:

Evaluation of Gartland Type-III, Supracondylar Fracture of Humerus.

Abstract

Introduction: This study has been designed to evaluate the success rate of closed reduction and stabilization by two lateral parallel percutaneous K-wires with the help of C-arm in the management of Gartland type-III closed supracondylar fracture of humerus in children.

Materials and Methods: A prospective quasi experimental study was conducted from January 2015 to December 2016 in NITOR. A total of 30 patients of Gartland type-III closed supracondylar fracture of humerus in children presenting between ages 3-12 years. Informed written consent was taken from patient’s guardian. Regular follow up was targeted for at least 6 month’s. Result was evaluated according to Flynn’s grading.

Results: Mean age was 6.85± 2.37 years, number of patients ware 30, Male patients were more affected 22 (73.33%) than female 8(26.67%), left side patients were more affected. Mean loss of elbow flexion was 9.53 degrees, mean loss of carrying angle was 8.5 degrees. Complications included four (13.33%) cases of pin tract infection, four (13.33%) cases of fracture blister, one (3.33%) case of median nerve palsy, two (6.66%) cases of inadequate pin fixation at first attempt. There were six excellent (20%), eighteen good (60%), three (10%) fair and three (10%) poor results according to Flynn’s grading. The overall 90% satisfactory result and rest 10% unsatisfactory result.

Conclusion: Closed reduction and stabilization by two lateral parallel percutaneous K-wires is a better method for treatment of Gartland type-III closed supracondylar fracture in children.

Medicine Today 2021 Vol.33(2): 138-142

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Published

2021-11-07

How to Cite

Alam, M. I. ., Kabir, S. F. ., Islam, M. F. ., Hossain, M. I. ., Faruque, M. O. ., Ara, H. ., & Alam, M. R. . (2021). Evaluation of Gartland Type-III Closed Supracondylar Fracture of Humerus in Children Treated by Lateral Percutaneous K-Wires under C-Arm Guidance. Medicine Today, 33(2), 138–142. https://doi.org/10.3329/medtoday.v33i2.56060

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