DISPLACED SUPRACONDYLAR FRACTURES OF HUMERUS IN CHILDREN TREATED WITH OPEN REDUCTION AND CROSS K-WIRE FIXATION

Objective:disturbing posterior approach used in the treatment of type iii supracondylar fractures of humerus inchildren.to describe the outcome of open reduction and cross k-wire fixation through a triceps non methodology:timergara dir lower from december 2005 to september 2008. fifty children with type iii supracondylarfractures, who presented within one week of injury, and in whom satisfactory reduction was not possible byclosed means, were evaluated clinically and with radiographs before surgery and at follow up. all thesepatients underwent open reduction and crossed k-wire fixation through a triceps non disturbing posteriorapproach. anatomical reduction of the fracture was achieved and fixation was carried out by two cross kwires.the patients were regularly followed up and at one the results were measured according to thecriteria of flynn.this descriptive study was conducted at orthopaedics unit district headquarter hospital results:fracture was of extension variety. traditional bone setters were the initial treatment provider for 54% ofthe patients. the average delay in presentation was 31 hours. four patients have ipsilateral fractures ofthe distal radial epiphysis. postoperatively 9(18%) patients developed pin track infection, and only 2(4%)had transient neuroprexia of the ulnar nerve.the mean age was 10+6 years. in 3(6%) patients the fracture was flexion and in 47(94%) the conclusion:approach can be satisfactorily used in the treatment of type iii supracondylar fractures that could not bereduced satisfactorily by closed methods.open reduction and cross k-wire fixation through a posterior triceps non disturbing